Nadeen Moore

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P5205933 Issued in FL

Practice address

675 Perdido Heights Dr
West Palm Beach, FL 33413-1099

Phone

(561) 800-7379

NPI assigned

Oct 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nadeen Fagan Former 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": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1770126427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 PERDIDO HEIGHTS DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334131099",
            "telephone_number": "561-800-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PERDIDO HEIGHTS DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334131099",
            "telephone_number": "561-800-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "NADEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "P5205933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADEEN",
            "last_name": "FAGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Iris Moore
• Kaitlyn Moore
• Kevin Moore
• Kiana Moore
• Marsha Althea Moore
• Moorhead and Ferlita
• Gernie M Moorhead, DDS
• Ines Alejandra Moorhouse, M.ED.
• Lynn Johnston Moorhouse, DDS
• Karen Marisa Moorley, LMHC

• Licensed Practical Nurse in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.