Active NPI
Alicia Moore-Herron, RN
- Registered Nurse
- Lithonia, GA
National Provider Identifier
1760133045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 195590
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 195590 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Labs, LLC | Current | 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.
-
- Clinical Medical Laboratory
- Lithonia, GA
- NPI 1700537099
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.