Jeanie Moore

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

838921 Issued in CA

Practice address

13101 Lomas Blvd NE Unit 50365
Albuquerque, NM 87123-1492

Phone

(916) 806-1505

NPI assigned

Oct 30, 2025

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

State licenses

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1609745413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 LOMAS BLVD NE UNIT 50365",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231492",
            "telephone_number": "916-806-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 LOMAS BLVD NE UNIT 50365",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231492",
            "telephone_number": "916-806-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JEANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "838921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn J Moore, BA
• Frederick Moore
• Jadin Carolina Moore
• Jamaal Moore, LMSW
• Jeanette Moore, LMT
• Jennifer Nicole Moore
• Jiaymeta Moore
• John-Robert Calvin Moore, D.C.
• Karla Rae Moore, LMHC, LSAA
• Katharine Jeanne Moore, FNP-BC

• Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.