Makela Moore

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

51 Elda Dr
San Rafael, CA 94903-3723

Phone

(510) 691-7713

NPI assigned

Sep 12, 2023

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

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1588441604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 BEN LOMOND",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945473946",
            "telephone_number": "510-691-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ELDA DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033723",
            "telephone_number": "510-691-7713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1089 Lea Dr",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949033746",
            "country_code": "US",
            "telephone_number": "510-691-7713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MAKELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Robert Moore
• Erin K Moore, CCAPP
• Gina Borelli Moore, MA, MFT
• Janet L. Moore
• Jennifer Kate Moore, CCC SLP
• Marian Frances Iris Moore, RN CNM
• Victoria Moore, D.C.
• Kathleen Marie Moran
• Kaylin Jaie Mordock, P.T.
• Jessica Moreano, CERTIFIED DOULA

• Case Manager/Care Coordinator in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.