Clarice Moore

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

4220 W Page Blvd
Saint Louis, MO 63113-3140

Phone

(314) 701-0257

Fax

(314) 925-8407

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other names 1

• Carisha Lamar Former name

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1215540232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 W PAGE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631133140",
            "telephone_number": "314-701-0257",
            "fax_number": "314-925-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 W PAGE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631133140",
            "telephone_number": "314-701-0257",
            "fax_number": "314-925-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CLARICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISHA",
            "last_name": "LAMAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Camille Cherie Moore, LPC
• Cassandra Moore
• Catherine Ruth Moore, D.O.
• Chela Vashti Moore, MA, LPC
• Christi Moore, PH.D.
• Colleen Moore
• Crista Moore, LCSW
• Danielle Moore, NP-C
• Donnell Moore Jr., LPC
• Duane Moore, M.D.

• Nurse's Aide in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nurse's Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.