Shelley Moore

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1003 Hugh Wallis Rd S Ste B2
Lafayette, LA 70508-2528

Phone

(337) 205-4444

NPI assigned

Jan 5, 2022

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2022.

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1134880784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033352",
            "telephone_number": "337-269-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 HUGH WALLIS RD S STE B2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082528",
            "telephone_number": "337-205-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Moore, LPC
• Matthew Moore, MD
• Patrick Devincent Moore, M.D.
• Payton Anne Moore
• Shawntel Marie Moore, ARNP, FNP-C
• Taylor Moore
• Ellen Moosa, LOTR
• Saul Morales Valero, M.D.
• Jazlynn Morales
• Tiffani Morales

• All providers in Lafayette, LA
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.