Gladys Moore

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

45 Southern Village Dr
Roxboro, NC 27573-2516

Phone

(919) 890-5569

NPI assigned

Mar 5, 2014

Sex

Male

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

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1669898391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MORSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011559",
            "telephone_number": "919-890-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SOUTHERN VILLAGE DR",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275732516",
            "telephone_number": "919-890-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GLADYS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Jonathan Migombo, P-LCSW
• Rachel Nicole Miller, PA-C
• Nadine Kundimana Minani, PA-C
• Miracles on Demand
• Gail Elizabeth Moore, PA-C
• Keevela Moore
• Brenda Lee Morrison, NP-C
• Morton Manor, Inc.
• Msa Home Health and Hospice of the Piedmont Inc
• Caitlin Marie Mulvihill, MD

• Developmentally Disabled Services Day Training Agency in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.