Michelle K Moore

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

4179 Westbrook Dr
Cleveland, OH 44144-1234

Phone

(216) 406-8979

NPI assigned

Feb 24, 2020

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

Other identifiers 1

Electronic endpoints 1

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1619501020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 WESTBROOK DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441441234",
            "telephone_number": "216-406-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 WESTBROOK DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441441234",
            "telephone_number": "216-406-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SL601708",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "michellekarmala@gmail.com",
            "affiliation": "N",
            "endpointDescription": "michellekarmala@gmail.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "michellekarmala@gmail.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "michellekarmala@gmail.com",
            "address_1": "4179 Westbrook Dr",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441441234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leah Marie Moore, PRS
• Leslie C Moore, QMHS MA CMS
• Lisandry Moore
• Malinda Moore
• Marva Moore
• Mikyla Moore
• Monica Moore
• Monica Marie Moore
• Monique Moore
• Nathan Moore

• Driver in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.