Vandy Moore, BA
Individual provider Active NPI Community Health Worker · Waterbury, CT
NPI 1154763308 · NPPES record last updated Jul 29, 2013
Key facts
- NPI
- 1154763308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 141 E Main St
Waterbury, CT 06702-2310 - Phone
- (203) 574-9000
- Fax
- (203) 574-9006
- NPI assigned
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
141 E Main St
Waterbury, CT 06702-2310
Mailing address
141 E Main St
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other providers in Waterbury, CT
- Jazmen Moore
- Lawrence Moore
- Maraejah Moore
- Marvin Moore
- Rachel Moore
- Ilaiza Mora
- Danielle Moraes
- Elizabeth Morales
- Jonathan Moran
- Kellie Moran
All providers in Waterbury, CT · Community Health Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.