Candice Moore

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

101 N Front St
Oak Grove, LA 71263-7641

Phone

(318) 680-7697

NPI assigned

Apr 4, 2023

Last updated

Apr 4, 2023By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Superior Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Shreveport, LA
  • NPI 1104364520
  Authorized official Same address or phone
• Twin Rivers Air Partners, LLC

  dba Tristate Transit

  • Non-emergency Medical Transport (VAN)
  • Oak Grove, LA
  • NPI 1245835099
  NPD

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1568167823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10957 CORNERSTONE PL",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "710478587",
            "telephone_number": "318-680-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N FRONT ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712637641",
            "telephone_number": "318-680-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CANDICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Laravia, RN
• Pamela Lewis, RPH
• Julie D McIntosh, PAC
• Crystal R Middleton, MA, CCC-SLP
• Ann Marie Nicole Moody, RPH
• Janet Murry, LMT
• Erin Newton
• Northeast Louisiana Substance Abuse
• Northstar,TLC Inc.
• Oak Grove Dental

• Non-emergency Medical Transport (VAN) in Oak Grove, LA
• Providers in Oak Grove, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.