Active NPI
Lakisha Davonda Moore
- Nurse's Aide
- Hampton, VA
National Provider Identifier
1376142620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bee Loved Home Care, LLC | Current | 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.
-
- Home Health Agency
- Hampton, VA
- NPI 1932794039
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.