Active NPI
Sara Amalia Moore, MAT, ATC
- Athletic Trainer
- Geneva, NY
National Provider Identifier
1134736341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 300 Pulteney St
Geneva, NY 14456-3304 - Phone
- (315) 781-3000
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
300 Pulteney St
Geneva, NY 14456-3304
Mailing address
443 S Main St Apt 1
Geneva, NY 14456-3156
Phone (925) 519-3359
Other practice location 1
1 University Plz
Youngstown, OH 44555-3652
Phone (330) 941-3000
Other practice location 2
454 S Raccoon Rd Apt B31
Austintown, OH 44515-3652
Phone (925) 519-3359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000052450 | Other | BOARD OF CERTIFICATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smoore@hws.edu | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1134736341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 S MAIN ST APT 1",
"city": "GENEVA",
"state": "NY",
"postal_code": "144563156",
"telephone_number": "925-519-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PULTENEY ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144563304",
"telephone_number": "315-781-3000"
}
],
"practiceLocations": [
{
"address_1": "1 University Plz",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445553652",
"country_code": "US",
"telephone_number": "330-941-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "454 S Raccoon Rd Apt B31",
"address_purpose": "LOCATION",
"city": "Austintown",
"state": "OH",
"postal_code": "445153652",
"country_code": "US",
"telephone_number": "925-519-3359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "SARA",
"middle_name": "AMALIA",
"credential": "MAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION",
"identifier": "2000052450",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smoore@hws.edu",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "300 Pulteney St",
"city": "Geneva",
"state": "NY",
"country_code": "US",
"postal_code": "144563304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Geneva, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.