Tania Sheri Moore, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

125198030 Issued in WI

Practice address

2647 N Holton St
Milwaukee, WI 53212-2928

Phone

(141) 265-5113

NPI assigned

May 3, 2006

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

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1639137151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 N HOLTON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122928",
            "telephone_number": "141-265-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 N HOLTON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122928",
            "telephone_number": "141-265-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TANIA",
        "middle_name": "SHERI",
        "name_prefix": "Miss",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "125198030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39991400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Moore, MA LPC-IT, SAC-IT
• Rasha Iman Moore, ADMIN, AFH
• Ronda Denise Moore, APSW
• Rosann Moore, L.P.N
• Shamaine Moore
• Tinja Camilla Moore, RN
• Trent J Moore, DDS
• Pamela Elizabeth Mooren-Boeshaar, M.D.
• Daniel Moos, DDS
• Kristen Moose, RD

• Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.