Sally Caroline Moore

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

178978 Issued in NC

Practice address

2900 Horse Pen Creek Rd
Greensboro, NC 27410-9701

Phone

(336) 665-1161

NPI assigned

Sep 13, 2024

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1184450207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HORSE PEN CREEK RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109701",
            "telephone_number": "336-665-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HORSE PEN CREEK RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109701",
            "telephone_number": "336-665-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SALLY",
        "middle_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NC",
            "license": "178978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Yvette Moore, LCAS
• Nikia Jones Moore, PT, DPT
• Nil A Moore, EDD
• Nya Moore, MSW,LCSWA,LCASA
• Rebekah Basily Moore, CCC-SLP
• Shanequa Ieshia Moore
• Tomeko Moore
• Zikia Moore
• Luke Anthony Moorefield, MSW, LCSWA
• David Mooyoung, LMBT

• School Registered Nurse in Greensboro, NC
• Providers in Greensboro, NC by specialty
• School Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.