Shimena Renae Moore, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3220G Issued in AL

Practice address

500 Markaview Rd NW
Huntsville, AL 35805-3652

Phone

(256) 535-3100

NPI assigned

Feb 17, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: shimena.moore@va.gov

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1497400436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 KYSER BLVD APT 9",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582305",
            "telephone_number": "256-541-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKAVIEW RD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358053652",
            "telephone_number": "256-535-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHIMENA",
        "middle_name": "RENAE",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "3220G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shimena.moore@va.gov",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 Markaview Rd NW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358053652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mallory Butler Moore, CRNP
• Nicole Cecelia Moore
• Ray Jemison Moore III, M.D.
• Sandra Moore, PT, PHD
• Sara Beth Moore
• Stefanee Aritas Moore, MS RD LD
• Taylor Moore, RBT
• Timothy Adam Moore, PT, DPT
• William Michael Moore, CRNA
• Yolanda Moore

• Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.