Trina Denise Moore, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R779801 Issued in MS

Practice address

253 County Road 352
Greenwood, MS 38930-7076

Phone

(662) 299-3858

NPI assigned

Feb 22, 2010

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1659693372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 COUNTY ROAD 352",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389307076",
            "telephone_number": "662-299-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 COUNTY ROAD 352",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389307076",
            "telephone_number": "662-299-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TRINA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R779801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Mitchell
• Antoinette Parks Montgomery, PCMHT
• Moore Tranport Services MTS LLC
• Frederick Earl Moore Jr.
• Shenitta Moore
• Eritiki Morris, FNP
• Moses Oral and Facial Surgery LLC
• Carol Clark Moses, FNP
• Louis J Moses, M.D.
• Walter Carl Moses III, DMD

• Registered Nurse in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.