Sophie Irene Moore

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

3085 S. Jones Blvd. Suite D
Mobile Mental Health Support Services, Inc.
Las Vegas, NV 89146

Phone

(702) 826-3219

NPI assigned

Nov 19, 2014

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": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1376940346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 SOUTH RAINBOW BLVD. SUITE #240",
            "address_2": "ASPIRE BEHAVIORAI HEALTH",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "702-826-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 S. JONES BLVD. SUITE D",
            "address_2": "MOBILE MENTAL HEALTH SUPPORT SERVICES, INC.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-826-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SOPHIE",
        "middle_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Moore
• Shanieca Moore
• Shaunda Moore
• Shauntera Monic Moore
• Shydell Moore
• Stanley William Moore
• Stephanie Ann Moore
• Stephen Moore
• Stephen David Moore, D.D.S.
• Steven Moore

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.