Charlene Latoya Moore

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

12720 University Club Dr Apt 202
Tampa, FL 33612-6594

Phone

(347) 208-1931

NPI assigned

Jan 28, 2022

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1427701523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 UNIVERSITY CLUB DR APT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126594",
            "telephone_number": "347-208-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 UNIVERSITY CLUB DR APT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126594",
            "telephone_number": "347-208-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHARLENE",
        "middle_name": "LATOYA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antionette Yvonne Moore, PHARMD
• April Moore
• Brandi Moore
• Brian Eugene Moore, PHYSICIAN ASSISTANT
• Cameron Olin Moore, DPT
• Charles William Moore, DMD
• Christina Moore, LMT
• Christine A Moore, ARNP
• Christine Li'Chele' Moore, PH.D
• Daryl Joseph Moore, PA-C

• Developmental Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.