Susie Moore, PERSONAL CARE AGENCY

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

9330 W Lincoln Ave Ste 20
West Allis, WI 53227-2300

Phone

(414) 732-9469

Fax

(414) 539-6645

NPI assigned

Jun 27, 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

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1326609520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 W LINCOLN AVE STE 20",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272300",
            "telephone_number": "414-732-9469",
            "fax_number": "414-539-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 W LINCOLN AVE STE 20",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272300",
            "telephone_number": "414-732-9469",
            "fax_number": "414-539-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SUSIE",
        "credential": "PERSONAL CARE AGENCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Nicole Monzon, APNP, MSN, FNP-BC
• Elizabeth Kruser Moore, PT
• Isabel Moore
• Patricia Anne Moore, APNP, FNP-BC
• Rachel Moore
• Roxana Jeannette Moraga, MD
• Joshua Mark Morales, DDS
• Sarah Elaine Moran
• Christin Michelle Morawski, PT
• Lane Melanie Morein, LCSW

• Home Health Agency in West Allis, WI
• Providers in West Allis, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.