Phylicia Moore

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NA00809517 Issued in DC

Practice address

5501 1St St NW
Washington, DC 20011-5258

Phone

(202) 558-2448

Fax

(202) 204-5758

NPI assigned

Jul 28, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• N/a N/a Other name

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1740733526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11656 S LAUREL DR APT 3C",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083031",
            "telephone_number": "240-501-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 1ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115258",
            "telephone_number": "202-558-2448",
            "fax_number": "202-204-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PHYLICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "DC",
            "license": "NA00809517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "CNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monique S Moore, PHD
• Morgan Deasia Moore, MS CCC-SLP
• Mylachi Mikya Moore
• Nicole Moore, M.A
• Nikkia Moore, CNA
• Rashida Moore
• Rhonda M Moore
• Ricky Valentine Moore
• Robin Amorie-Sheri Moore
• Rosemary Moore

• Nurse's Aide in Washington, DC
• Providers in Washington, DC by specialty
• Nurse's Aide in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.