Sierra Moore

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7401 W Grandridge Blvd Ste 102
Kennewick, WA 99336-7831

Phone

(509) 209-2739

NPI assigned

Feb 7, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Imagine Behavioral & Developmental Services

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1619211042
  NPD

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1750913729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 W SUNSET HWY STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249446",
            "telephone_number": "509-209-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 W GRANDRIDGE BLVD STE 102",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367831",
            "telephone_number": "509-209-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Montes
• Allison R Montgomery
• Cheyenne Montgomery
• Christina Adele Moore, MSN, APRN, FNP-C
• Raquel Noemi Moore, RN
• Melissa Morales Jaimes
• Juan Miguel Morales-Ontiveros Jr.
• Willy Morales-Rodrigez
• Domitila Morales
• Rosalba Morales, MEDICAL INTERPRETER

• Behavior Technician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.