Ahkeem Shaquille Moore Sr., CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CN0014246658 Issued in GA

Practice address

1403 New Horizon
Powder Springs, GA 30127-1668

Phone

(404) 625-4469

NPI assigned

Sep 30, 2024

Sex

Male

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

State licenses

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1235957036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 NEW HORIZON",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271668",
            "telephone_number": "404-625-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 NEW HORIZON",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271668",
            "telephone_number": "404-625-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AHKEEM",
        "middle_name": "SHAQUILLE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0014246658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Missini, CNA
• Rhonda J Mitchell, SLP
• Mobility Physical Therapy
• Edna Sharie Mock, CERT HAIR LOSS SPECI
• Francesca Momplaisir, D.O.
• Nikale Moore, RN
• Seryna V Muhammad Wilkinson, NCC, LPC
• Felicia La Chelle Murrell, MA LMFT
• My Brother'S Legacy, LLC
• Isabella Batallas Myers, BS, DMD, MBA

• Nurse's Aide in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.