Brenda Margaret Moore, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

277832-1 Issued in NY

Practice address

5502 St. RT 36
#48
Mt Morris, NY 14510

Phone

(585) 658-2545

NPI assigned

Jul 22, 2010

Last updated

Jul 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Brenda Margaret Bailey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1386957090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 ST. RT 36",
            "address_2": "#48",
            "city": "MT MORRIS",
            "state": "NY",
            "postal_code": "14510",
            "telephone_number": "585-658-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 ST. RT 36",
            "address_2": "#48",
            "city": "MT MORRIS",
            "state": "NY",
            "postal_code": "14510",
            "telephone_number": "585-658-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRENDA",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "277832-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BAILEY",
            "middle_name": "MARGARET",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Anne McNicholas, PTA
• Judy S Meyers
• Hannea Deborah Milliman, LMSW
• Kelly Mirrione, MSED
• Michele Moodie, MSED
• Linda J Morse, LMSW
• Mosaic Health, Inc.
• Mount Morris Central School
• Mount Morris Central School District
• Mt Morris Taxi Service II Inc

• Licensed Practical Nurse in Mount Morris, NY
• Providers in Mount Morris, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.