Individual provider Active NPI

Alicia Moore-Herron, RN

  • Registered Nurse
  • Lithonia, GA
National Provider Identifier
1760133045
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
195590 Issued in GA
Practice address
2222 Cherokee Valley Cir
Lithonia, GA 30058-8926
Phone
(404) 849-6303
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X 195590 GA Primary

Addresses

Primary practice location

2222 Cherokee Valley Cir
Lithonia, GA 30058-8926

Mailing address

2222 Cherokee Valley Cir
Lithonia, GA 30058-8926
Phone (404) 849-6303

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@visitinglabs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
195590GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Labs, LLC CurrentSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1760133045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CHEROKEE VALLEY CIR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588926",
            "telephone_number": "404-849-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHEROKEE VALLEY CIR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588926",
            "telephone_number": "404-849-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-HERRON",
        "first_name": "ALICIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "195590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@visitinglabs.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2222 Cherokee Valley Cir",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300588926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.