Mary Moore

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

4043 Wakefield Mound Rd Lot 207
Piketon, OH 45661-9665

Phone

(740) 600-3416

NPI assigned

May 13, 2021

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": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1336713411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456610046",
            "telephone_number": "740-600-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 WAKEFIELD MOUND RD LOT 207",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619665",
            "telephone_number": "740-600-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Mercer, QMHS
• Brittany Merritt
• Tyler Doules Montgomery
• Dresden S Moore - Spencer, R.N.
• Christina Ann Moore
• Misty Dawn Murray, MA, CCC/SLP
• Kira Mustard
• Alyssa Lee Newman, LSW
• Judy Nichols
• Shelly Leigh Nichols, RN

• Personal Care Attendant in Piketon, OH
• Providers in Piketon, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.