Brenda Gail Moore

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1441 Right Fork Bull Creek Rd
Crum, WV 25669-8081

Phone

(304) 393-3381

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

No

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, last updated by the provider on Aug 24, 2020.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1699388306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 RIGHT FORK BULL CREEK RD",
            "city": "CRUM",
            "state": "WV",
            "postal_code": "256698081",
            "telephone_number": "304-393-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 RIGHT FORK BULL CREEK RD",
            "city": "CRUM",
            "state": "WV",
            "postal_code": "256698081",
            "telephone_number": "304-393-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRENDA",
        "middle_name": "GAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nicole Kinser
• Melissa Dawn Ledson, RPT
• Geraldine Lynn Macura
• Jennifer Rose Marcum
• Nettie Mae Messer
• Julie Lynne Muncy
• Denisha Dawn Ratcliff
• Kimberly Ratcliff
• Nicolle Leigh Roseberry
• April Dawn Sparks

• All providers in Crum, WV
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.