Michelle Moore, RN

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

1129005 Issued in TX

Practice address

113 Angis LN
Lewisville, TX 75056-5835

Phone

(303) 204-8578

NPI assigned

Feb 24, 2009

Last updated

Jul 11, 2024By 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 2

Addresses

Other identifiers 1

Other names 1

• Michelle Kenny Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nurturing Roots LLC

  • Lactation Consultant (Registered Nurse)
  • Lewisville, TX
  • NPI 1366289894
  NPD Authorized official

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1578703971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ANGIS LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565835",
            "telephone_number": "303-204-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ANGIS LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565835",
            "telephone_number": "303-204-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "167932",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "1129005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27520781",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KENNY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trevor Keith Montgomery, PT
• Ryan Kent Moody
• Angela Moore, RBT
• Debbie G Moore, RN, NNP BC
• Johnny Clifton Moore
• Rachel M Moore, LMFT
• Salima Irfan Moosa, D.D.S
• Joseph Michael Moranda, RN
• Lisa McCall Moreno, SLP
• Eric Morganstern

• Lactation Consultant (Registered Nurse) in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.