Reda Violet Moore, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN112737 Issued in OH

Practice address

3343 Everson Road East
Columbus, OH 43232-5926

Phone

(614) 515-0468

Fax

(614) 829-3129

NPI assigned

Sep 18, 2008

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

State licenses

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1447409040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 EVERSON RD E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432325926",
            "telephone_number": "614-515-0468",
            "fax_number": "614-829-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 EVERSON ROAD EAST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432325926",
            "telephone_number": "614-515-0468",
            "fax_number": "614-829-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REDA",
        "middle_name": "VIOLET",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN112737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quaron Lindsaylee Moore
• Quinaya Moore
• Rachael Yvonne Moore
• Rachel Suzanne Moore, LPC
• Rasean Lee Moore
• S Nicole Moore, RN
• Sarah Moore
• Shannon Moore
• Shawn E Moore, MD
• Stephen F Moore, M.D.

• Licensed Practical Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.