Active NPI
Cindy Moore, RN
- Registered Nurse
- Las Vegas, NV
National Provider Identifier
1114277696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN46545
- Practice address
- 888 South Rancho Blvd
Suite 209
Las Vegas, NV 89106 - Phone
- (702) 877-5288
- Fax
- (702) 877-8354
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN46545 | NV | Primary |
| Registered Nurse | 163W00000X | 749615 | CA |
Addresses
Primary practice location
888 South Rancho Blvd
Suite 209
Las Vegas, NV 89106
Mailing address
7232 Scenic Desert Court
Las Vegas, NV 89131
Phone (702) 273-9124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 749615 | CA | MD | Registered Nurse |
| RN46545 | NV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1114277696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7232 SCENIC DESERT COURT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89131",
"telephone_number": "702-273-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SOUTH RANCHO BLVD",
"address_2": "SUITE 209",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-877-5288",
"fax_number": "702-877-8354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CINDY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN46545",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "749615",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.