Erin Judith Moore, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

313986 Issued in NY

Practice address

11 Elm St
Phoenix, NY 13135-1922

Phone

(315) 695-1563

Fax

(315) 695-1620

NPI assigned

Oct 31, 2019

Last updated

Oct 31, 2019By the provider in NPPES

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 names 1

• Erin Judith Rohe Former name

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": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1659915890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ELM ST",
            "city": "PHOENIX",
            "state": "NY",
            "postal_code": "131351922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ELM ST",
            "city": "PHOENIX",
            "state": "NY",
            "postal_code": "131351922",
            "telephone_number": "315-695-1563",
            "fax_number": "315-695-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ERIN",
        "middle_name": "JUDITH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "313986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "ROHE",
            "middle_name": "JUDITH",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Ilardi, REGISTERED NURSE
• Beth Jordan, OTD, MSOTR
• Paul G Lakomski, R.PH.
• Paul J Masuicca, DDS
• Ann Marie Milewski, CCC, NYS LIC.
• Anne-Marie Elizabeth Muller, LCSW
• Northern Oswego County Health Services, Inc.
• Anna E Oliver
• Omar Guesmia DDS. PC (Gentle Dental Care PC)
• On the Move Occupational Therapy, PLLC

• Licensed Practical Nurse in Phoenix, NY
• Providers in Phoenix, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.