Lakeshia Moore, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.161003-M-IV Issued in OH

Practice address

311 E Market St
Lima, OH 45801-4535

Phone

(419) 222-4474

NPI assigned

Dec 21, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lima, OH
  • NPI 1336780196
  NPD (past)
• Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc

  • Community Health Clinic/Center
  • Lima, OH
  • NPI 1629144050
  NPD (past)

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1720523129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 ELMWOOD AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436064716",
            "telephone_number": "419-870-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014535",
            "telephone_number": "419-222-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAKESHIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.161003-M-IV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254786",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth E Moore, NP
• Emily Anne Moore, OTR/L
• Jordan Nicole Moore
• Julia Ann Moore, RD, LD
• Kimbra Lee Moore
• Tobi Moore, RN
• Tyler Moore
• Ambriah D Morehead
• Kelly Lee Morehouse, LPN
• Katie J Morgan, CNP

• Licensed Practical Nurse in Lima, OH
• Providers in Lima, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.