Yolanda Moore

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703080368 Issued in MI

Practice address

13929 Harper Ave
Detroit, MI 48213-3672

Phone

(313) 371-0055

Fax

(313) 371-1409

NPI assigned

May 24, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metro East Drug Treatment

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1366562704
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245441278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10771 SOMERSET AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241733",
            "telephone_number": "313-826-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13929 HARPER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133672",
            "telephone_number": "313-371-0055",
            "fax_number": "313-371-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "YOLANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703080368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Renee Moore, NNP-BC
• Tequina Moore
• Tinae Moore
• Vernon Moore, MSW
• Yolanda Moore
• Yolanda Moore
• Ann Moorer
• Nichelle A Moorer
• Yvonne Moorer
• Quanza Elise Mooring, PHD, FNP-BC

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.