Latanya Yvette Moore

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

687825396 Issued in FL

Practice address

3392 SW 131St Place Rd
Ocala, FL 34473-7939

Phone

(352) 812-7756

NPI assigned

Jan 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1801033436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3392 SW 131ST PLACE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344737939",
            "telephone_number": "352-812-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3392 SW 131ST PLACE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344737939",
            "telephone_number": "352-812-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LATANYA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "687825396",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "687825396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687825396",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Moon, RN
• Nancy R Moon, M.A.
• Kareece Moonasingh, MD
• Jermaine Moore
• Khanti-Klair Moore
• Michelle Jennifer Moore
• Rachyl Faith Moore, MOT, OTR/L
• Ryan Christopher Moore, MD
• Shelby Moore, DO
• Tashiana Moore

• Community Health Worker in Ocala, FL
• Providers in Ocala, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.