Charlene Moore, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

520052 Issued in OH

Practice address

5676 Broadview Rd
Apt 523
Cleveland, OH 44134-1635

Phone

(216) 551-2845

NPI assigned

Feb 11, 2014

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1366866329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13309 OAKVIEW BLVD",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441253951",
            "telephone_number": "216-266-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5676 BROADVIEW RD",
            "address_2": "APT 523",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441341635",
            "telephone_number": "216-551-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHARLENE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN152204",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "520052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Moore
• Brian Lorenzo Thomas Moore Jr.
• Cameron Moore, DO
• Carrie L Moore
• Catherine Moore, CDCA
• Charles Moore
• Charles Akens Moore Jr.
• Christopher Moore
• Christopher A Moore, PA-C
• Cornisha Moore

• General Practice Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.