Active NPI
Tiffani Lashai Moore
- Student in an Organized Health Care Education/Training Program
- Bakersfield, CA
National Provider Identifier
1336639749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 17801 Industrial Farm Rd
Bakersfield, CA 93308-9599 - Phone
- (661) 391-9130
- NPI assigned
- May 11, 2018
- Reactivated
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Social Worker | 104100000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
17801 Industrial Farm Rd
Bakersfield, CA 93308-9599
Mailing address
501 Taylor St Apt 55
Bakersfield, CA 93309-3024
Other practice location 1
3000 W Cecil Ave
Delano, CA 93215-1821
Phone (661) 721-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1336639749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 TAYLOR ST APT 55",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933093024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17801 INDUSTRIAL FARM RD",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933089599",
"telephone_number": "661-391-9130"
}
],
"practiceLocations": [
{
"address_1": "3000 W Cecil Ave",
"address_purpose": "LOCATION",
"city": "Delano",
"state": "CA",
"postal_code": "932151821",
"country_code": "US",
"telephone_number": "661-721-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "TIFFANI",
"middle_name": "LASHAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"deactivation_date": "2023-07-15",
"reactivation_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.