James Knoble Moore Jr., BA

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

4698 Issued in AZ

Practice address

10247 E Covington St
Tucson, AZ 85748-2146

Phone

(520) 290-9055

Fax

(520) 748-1458

NPI assigned

Oct 6, 2006

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1629165097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 N EL DORADO PL STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154607",
            "telephone_number": "520-748-7108",
            "fax_number": "520-748-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10247 E COVINGTON ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857482146",
            "telephone_number": "520-290-9055",
            "fax_number": "520-748-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JAMES",
        "middle_name": "KNOBLE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "4698",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "AZ",
            "license": "4698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754871",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Consuelo Moore, FNP-C
• Courtney Moore, RN
• Cristi A Moore, AU.D.
• Frances Lee Moore, MD
• Heather Moore, LASAC
• Jillian C Moore, LMT
• Kyle M Moore
• Laquisha Moore, PHD, BCBA, LBA
• Laura Beth Moore, OTR
• Lauren E Moore

• Foster Care Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Foster Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.