Jennifer Moore, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-30140 Issued in FL

Practice address

7620 SW 5TH PL
Gainesville, FL 32607-1572

Phone

(352) 514-0281

NPI assigned

Nov 7, 2021

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

Registered Nurse

State licenses

Practice roles

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

• Optimom Lactation Services, LLC.

  • Lactation Consultant (Registered Nurse)
  • Gainesville, FL
  • NPI 1942085410
  NPD Authorized official

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

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1578228227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 SW 5TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071572",
            "telephone_number": "352-514-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 SW 5TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071572",
            "telephone_number": "352-514-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNIFER",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "L-30140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis D Moore, MD
• Frederick A Moore, M.D., F.A.C.S.
• Heather Kay Moore, RRT
• Homer J. Moore Jr., MD
• Janet Moore, LMHC, CHT
• Jessica Anne Moore, PHARMD
• Kathryn Pax Lattimore Moore, M.D.
• Kendall Dee Moore, M.D.
• Kenya Moore
• Kevin Moore

• Lactation Consultant (Registered Nurse) in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.