Casssaundra Lynn Moore, MA60142017

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60142017 Issued in WA

Practice address

5343 Tallman Ave NW Ste 103
Seattle, WA 98107-3940

Phone

(206) 653-5448

NPI assigned

Nov 26, 2011

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

State licenses

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

{
    "created_epoch": "1322265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322265600000",
    "number": "1730456328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7204 27TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155822",
            "telephone_number": "206-653-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 TALLMAN AVE NW STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073940",
            "telephone_number": "206-653-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CASSSAUNDRA",
        "middle_name": "LYNN",
        "credential": "MA60142017",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-26",
        "last_updated": "2011-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60142017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Moore
• Ashley Nicole Moore
• Brad Preston Moore
• Carl Moore, CDP
• Casey Moore, PHARMD
• Chris C D Moore, MD
• Christopher Nicholas Moore, MD
• Christy Marie Moore, PA
• Cynthia Erin Moore, DPT
• David W Moore, M.D

• Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.