Tamika Moore, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

641488-1 Issued in NY

Practice address

69 Richardson Ave
Monticello, NY 12701-2212

Phone

(845) 794-8830

NPI assigned

Jun 20, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1164836854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 RICHARDSON AVE",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127012212",
            "telephone_number": "845-794-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 RICHARDSON AVE",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127012212",
            "telephone_number": "845-794-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TAMIKA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "641488-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monticello Central School District
• Monticello Family Medicine & Walk-in Center
• Monticello Pharmacy, Inc.
• Montrose Vamc
• Ronda Ginean Moore-Watson, LPN
• Kelly Moorer
• Ashley Morales, COTA
• David Morcos, DO
• Candice Morgan
• David Christopher Morgan, NP

• School Registered Nurse in Monticello, NY
• Providers in Monticello, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.