Joan Lucille Moore, R.N.,BSN, MA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN102950 Issued in AZ

Practice address

7490 W Union Hills Dr
Glendale, AZ 85308-8151

Phone

(623) 376-4110

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Bachelor on Science - Nursing, Master of Arts, Registered Nurse

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487774162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 W MARCO POLO RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853820954",
            "telephone_number": "623-376-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 W UNION HILLS DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088151",
            "telephone_number": "623-376-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOAN",
        "middle_name": "LUCILLE",
        "name_prefix": "Mrs.",
        "credential": "R.N.,BSN, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN102950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Moore
• Casondra Moore, D.O.
• Christi L Moore, PA
• Jeanette D Moore, NP
• Jenna Moore
• Kyla Moore
• Lee Moore, PHARM D
• Linda Lorraine Moore, M.A.
• Makenzie A Moore
• Michael Ryan Moore II, PHARMD

• Registered Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.