Individual provider Active NPI

Lakisha Davonda Moore

  • Nurse's Aide
  • Hampton, VA
National Provider Identifier
1376142620
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
5 W Queens Way Ste 203
Hampton, VA 23669-4084
Phone
(757) 964-6297
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X Primary

Addresses

Primary practice location

5 W Queens Way Ste 203
Hampton, VA 23669-4084

Mailing address

4060 Victoria Blvd Apt 107
Hampton, VA 23669-4284
Phone (757) 968-0398

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL beelovedhomecareva@gmail.com
CONNECT URL Beelovedhomecareva@gmail.com Direct
CONNECT URL Beelovedhomecareva@gmail.com Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Loved Home Care, LLC CurrentSince Mar 7, 2021 Accepting new patients

Locations

5 W Queens Way
Ste 203
Hampton, VA 23669
Phone (757) 964-6297

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1376142620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 VICTORIA BLVD APT 107",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694284",
            "telephone_number": "757-968-0398",
            "fax_number": "757-251-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W QUEENS WAY STE 203",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694084",
            "telephone_number": "757-964-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAKISHA",
        "middle_name": "DAVONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "beelovedhomecareva@gmail.com",
            "affiliation": "N",
            "address_1": "4410 Claiborne Sq E Unit 339",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236662071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Beelovedhomecareva@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Beelovedhomecareva@gmail.com",
            "address_1": "5 W Queens Way Ste 203",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236694084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Beelovedhomecareva@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "5 W Queens Way Ste 203",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236694084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.