Laronda Leshell Moore

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

111 W Church St
Quitman, MS 39355-2134

Phone

(601) 604-3705

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Jul 22, 2021.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1548833965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COUNTY ROAD 359",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393019676",
            "telephone_number": "601-604-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W CHURCH ST",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393552134",
            "telephone_number": "601-604-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LARONDA",
        "middle_name": "LESHELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enija Mays
• Kadejaih D McCarty
• Michael W Hubbert DMD, LLC
• Mississippi Em-I Medical Serives PC
• Mississippi State Department of Health
• Ms Lakeside LLC
• Randy J Neely
• NP House Calls LLC
• Nurse Practitioner House Calls
• P&P Counseling Services Quitman Branch

• All providers in Quitman, MS
• Homemaker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.