Janice Moore

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

830 W Beacon Rd Apt 6
Lakeland, FL 33803-2862

Phone

(863) 680-2966

NPI assigned

Jun 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1306227749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W BEACON RD APT 6",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032862",
            "telephone_number": "863-680-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W BEACON RD APT 6",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032862",
            "telephone_number": "863-680-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JANICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Moore Rucker
• Arthur William Moore III, D.M.D.
• Deeanna Dean Moore
• Heather Lynn Moore, LCSW
• Jamie Palmer Moore, RD/LDN, MPH
• John Clifton Moore III, MD
• Karen Moore
• Ronni Tierra Moore
• Ronnie Lee Moore
• Scott Marshall Moore, DC

• Prosthetist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Prosthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.