Andrea Bernice Moore, BS CASE MANAGER

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2407 NW 22ND St Apt C
Lawton, OK 73505-2232

Phone

(580) 248-3069

NPI assigned

Feb 19, 2010

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1598087488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 NW 22ND ST APT C",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052232",
            "telephone_number": "580-248-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 NW 22ND ST APT C",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052232",
            "telephone_number": "580-248-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANDREA",
        "middle_name": "BERNICE",
        "name_prefix": "Ms.",
        "credential": "BS CASE MANAGER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Jean Moody, R.P.T.
• Sherry Ranee Moody, BSN, RN
• Zenobia Moody
• Emily Olivia Moon, D.C.
• Patrice Elaine Mooney, DO
• Carol Marshea Moore
• Jessica Moore
• Katherine Roya Moore, APRN-CNP
• Lana J Moore, MS RPT
• Maria Del Carmen Moore, BS

• All providers in Lawton, OK
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.