Zachary Andrew-Vernon Moore, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN.488740 Issued in OH

Practice address

7139 N Springboro Pike
West Carrollton, OH 45449-3605

Phone

(937) 844-7362

NPI assigned

Oct 29, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1649814021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7139 N SPRINGBORO PIKE",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454493605",
            "telephone_number": "937-844-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7139 N SPRINGBORO PIKE",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454493605",
            "telephone_number": "937-844-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ZACHARY",
        "middle_name": "ANDREW-VERNON",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.163919.MEDS-IV",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OH",
            "license": "RN.488740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Caroline Monnin
• Chekeyla Moore
• Eyvette Moore
• Sonya Moore
• Timika N Moore, QMHS 3YR
• Rebekah Katelyn Morales
• Shameika J Moreland
• Carolyn Ann Morris, LSW
• Tyneah Morris, APRN
• Amber Mosley

• Administrator Registered Nurse in West Carrollton, OH
• Providers in West Carrollton, OH by specialty
• Administrator Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.