Valerie Lynn Moore, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.168398.MEDS-IV Issued in OH

Practice address

200 Daruma Pkwy
Moraine, OH 45439-7909

Phone

(937) 262-3500

Fax

(937) 496-5274

NPI assigned

Sep 16, 2019

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

State licenses

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1245880905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 CAMELOT RD",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262318",
            "telephone_number": "937-715-7018",
            "fax_number": "937-496-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DARUMA PKWY",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454397909",
            "telephone_number": "937-262-3500",
            "fax_number": "937-496-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VALERIE",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.168398.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Mongelli
• Elizabeth Pipoly Montgomery
• David Moore
• Erin Moore
• Latoya D Moore
• Chelsea Moreland
• Dana Morelock
• Kimberly Moreth, LCDC II
• Kaitlyn Morgan
• Lori Ann Morgan, FNP-C

• Licensed Practical Nurse in Moraine, OH
• Providers in Moraine, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.