Shirley Ann Moore, M.S., R.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

R1200292 Issued in ZZ

Practice address

2621 W Wackerly St
Suite E
Midland, MI 48640-6993

Phone

(989) 496-7472

Fax

(989) 633-9130

NPI assigned

Feb 3, 2011

Last updated

Feb 3, 2011By the provider in NPPES

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

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• FWC Acu LLC

  • Acupuncturist
  • Midland, MI
  • NPI 1902438047
  NPD (past)

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1700182037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 W WACKERLY ST",
            "address_2": "SUITE E",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406993",
            "telephone_number": "989-496-7472",
            "fax_number": "989-633-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W WACKERLY ST",
            "address_2": "SUITE E",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406993",
            "telephone_number": "989-496-7472",
            "fax_number": "989-633-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "credential": "M.S., R.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ZZ",
            "license": "R1200292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devan William Moody, DDS
• Kathleen Moon
• Rachel Elizabeth Moon
• Ashley Marie Moore, OTRL
• Mikayla Moore, LMT
• Tammy Sue Moore, AGACNP-BC
• Christopher M Morabito, MS, LPC
• Isabella Morales
• Jacqueline D Morand
• Morgan Chiropractic Center, P.C.

• Acupuncturist in Midland, MI
• Providers in Midland, MI by specialty
• Acupuncturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.