Stephanie Moore

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN224349 Issued in GA

Practice address

4867 Ashford Dunwoody Rd Apt 6205
Atlanta, GA 30338-4887

Phone

(904) 334-1818

NPI assigned

Jan 28, 2021

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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1730770264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 ASHFORD DUNWOODY RD APT 6205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384887",
            "telephone_number": "904-334-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 ASHFORD DUNWOODY RD APT 6205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384887",
            "telephone_number": "904-334-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN224349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santevia Lawanda Moore, LCSW
• Sharea N Moore, NP
• Shianne Bridgette Moore
• Shonda Moore, RN
• Sidney Rhee Moore, NP
• Sydney Moore
• Tamela A. Moore, OTR/L
• Thomas Moore Jr., MD
• Thomas J Moore, MD
• Vicki Lynn Moore, CST/CFA

• Registered Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.