Active NPI
Desirae Moore
- Social Worker
- Greensburg, IN
National Provider Identifier
1407481948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33008693A
- Practice address
- 955 N Michigan Ave
Greensburg, IN 47240-1487 - Phone
- (812) 222-3627
- NPI assigned
- Mar 5, 2020
- Last updated
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 33008693A | IN | Primary |
Addresses
Primary practice location
955 N Michigan Ave
Greensburg, IN 47240-1487
Mailing address
7035 N County Road 550 E
Rushville, IN 46173-9601
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33008693A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1407481948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7035 N COUNTY ROAD 550 E",
"city": "RUSHVILLE",
"state": "IN",
"postal_code": "461739601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 N MICHIGAN AVE",
"city": "GREENSBURG",
"state": "IN",
"postal_code": "472401487",
"telephone_number": "812-222-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DESIRAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33008693A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.