Kelita Leshea Moore, NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703096951 Issued in MI

Practice address

1320 N Michigan Ave
Saginaw, MI 48602

Phone

(989) 401-9015

Fax

(989) 401-9018

NPI assigned

Jun 23, 2018

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": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1487149324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023743",
            "telephone_number": "989-529-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48602",
            "telephone_number": "989-401-9015",
            "fax_number": "989-401-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KELITA",
        "middle_name": "LESHEA",
        "name_prefix": "Ms.",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-23",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703096951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Montipett
• Lauren Moody
• Moore Loove Home Care Agency
• Aaron Moore
• Jasmine Monique Moore
• Kirstin Marie Moore
• Kristen Michelle Moore, PT, DPT
• Kristine L Moore
• Leatta Moore, LLMSW
• Mary D Moore, M.D.

• Licensed Practical Nurse in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.