Londa Moore, CAREGIVER

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

1923 Apache Ave
South Lake Tahoe, CA 96150-4821

Phone

(530) 573-1632

NPI assigned

Jan 3, 2007

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1346307659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 BENNETT AVE",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897016551",
            "telephone_number": "775-220-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 APACHE AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961504821",
            "telephone_number": "530-573-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LONDA",
        "name_prefix": "Ms.",
        "credential": "CAREGIVER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobility DX, LLC
• Erin Moffat
• Jessica Monaloy, PT
• Allison Leach Monroe, MD
• Jason Edward Moore
• Amanda Morozumi
• Jana R Mortellaro, MS, OTR-L, CHT
• Kate Mosher, LCSW
• Mountain High Recovery Center
• Mountain Therapy Collaborative

• Attendant Care Provider in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.