Vivian Moore

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704186500 Issued in MI

Practice address

1468 Morgan Ave
Muskegon, MI 49442-1383

Phone

(231) 769-6819

NPI assigned

Mar 8, 2016

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

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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1407217128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 MORGAN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421383",
            "telephone_number": "231-769-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MORGAN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421383",
            "telephone_number": "231-769-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VIVIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704186500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Montgomery, DPT
• Kayla B Moore, MSW
• Rena Ann Moore, OTRL
• Sandra J Moore, D.C.
• Sonja Moore
• Erich Moorman
• Daniel Martin Moran
• Christian Morell
• Stephanie Moreno, LLP
• Randee V Morey

• Registered Nurse in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.