Erika Moore
Individual provider Active NPI Case Manager/Care Coordinator · Etna, OH
NPI 1750031340 · NPPES record last updated May 3, 2022
Key facts
- NPI
- 1750031340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 10485 Tollgate Rd SW
Etna, OH 43062 - Phone
- (000) 000-0000
- NPI assigned
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
10485 Tollgate Rd SW
Etna, OH 43062
Mailing address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 844-3800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2615030 | Medicaid | OH |
Other providers in Etna, OH
- Donna Mae Lewis
- Megan Lewis
- Kerri S Marks
- Christopher P. McDonough
- Nicole McFerren
- Duane Edmund Mullins
- Music Makers LLC
- Jodi C Neff
- NK Fitness and Nutrition, LLC
- Nijya Noble
All providers in Etna, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.