Chandell Moore, RN,PHN,BSN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

95025744 Issued in CA

Practice address

11484 B Ave
Auburn, CA 95603-2603

Phone

(530) 886-3624

NPI assigned

Mar 23, 2015

Last updated

Mar 23, 2015By the provider in NPPES

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1184018624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 HUME GLENN DR",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11484 B AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032603",
            "telephone_number": "530-886-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHANDELL",
        "name_prefix": "Mrs.",
        "credential": "RN,PHN,BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95025744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gregory Molina, DDS
• Charmaine Lesley Moller, BACHELOR OF PHARMACY
• Nancy Juanita Monroe
• Jessica Mont-Eton, RADT
• Mary E Montaldo, PH.D.
• Chaz J Moore, PA-C
• Lisa C. Moore, DC
• Norma Moore
• Shane M Moore, MPSS-DSNBAR
• Theodore Craig Moore, PT

• Case Management Registered Nurse in Auburn, CA
• Providers in Auburn, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.