Eileen Frances Moore

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

25537 Issued in CA

Practice address

420 E State St
Redlands, CA 92373-5237

Phone

(909) 798-1930

NPI assigned

Nov 6, 2023

Last updated

Nov 6, 2023By the provider in NPPES

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": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1407629884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 LA HACIENDA DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924042040",
            "telephone_number": "909-754-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E STATE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735237",
            "telephone_number": "909-798-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EILEEN",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "25537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Monteilh
• Kathy Monterrosa
• Tanya Montez
• Aimee Margaret Montoya, DPM
• David Moon, MD
• Elysia Moore
• Michael Moore
• Pamela Denese Moore, PA
• Aric Richard Morales
• Chloe Anne Morales

• Massage Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.