Active NPI
Shanquita Moore
- Adult Companion
- Leesburg, FL
National Provider Identifier
1689283590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 9602 Seaview Dr Apt 101
Leesburg, FL 34788-7699 - Phone
- (850) 960-3277
- NPI assigned
- Jul 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | FL | Primary |
Addresses
Primary practice location
9602 Seaview Dr Apt 101
Leesburg, FL 34788-7699
Mailing address
9602 Seaview Dr Apt 101
Leesburg, FL 34788-7699
Phone (850) 960-3277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://simplythebesthomecareservices125.sharefile-webdav.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1689283590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9602 SEAVIEW DR APT 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347887699",
"telephone_number": "850-960-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9602 SEAVIEW DR APT 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347887699",
"telephone_number": "850-960-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SHANQUITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://simplythebesthomecareservices125.sharefile-webdav.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure email",
"address_1": "9602 Seaview Dr Apt 101",
"city": "Leesburg",
"state": "FL",
"country_code": "US",
"postal_code": "347887699",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.