Tracy L Moore Chestnut

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

41051 State Route 517
Lisbon, OH 44432-9354

Phone

(330) 271-9553

Fax

(330) 424-4921

NPI assigned

Jun 2, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1154589547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41051 STATE ROUTE 517",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329354",
            "telephone_number": "330-271-9553",
            "fax_number": "330-424-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41051 STATE ROUTE 517",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329354",
            "telephone_number": "330-271-9553",
            "fax_number": "330-424-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE CHESTNUT",
        "first_name": "TRACY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2784027",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikouis Home Delivery Healthcare, LLC
• Miller Holdings Sunrise, Inc.
• Mary Ellen Miller, LPN
• Nicole Miller
• Carla Sue Moats
• Morgans Drug Store Incorporated
• Shari L Morrison
• Raquel Mullen, QMHS
• Shawanna Lynn Musick-Heid, RN
• Cathy Neville

• Home Health Aide in Lisbon, OH
• Providers in Lisbon, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.