Aneesha Janet Moore

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3945 SE 15TH St
Del City, OK 73115

Phone

(405) 208-8886

NPI assigned

Feb 22, 2016

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Mrs. Aneesha Janet Rucker Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2016.

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1821457656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300254",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731400254",
            "telephone_number": "405-640-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 SE 15TH ST",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "73115",
            "telephone_number": "405-208-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANEESHA",
        "middle_name": "JANET",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANEESHA",
            "last_name": "RUCKER",
            "middle_name": "JANET",
            "prefix": "MRS.",
            "credential": "B.A. SOCIOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Midwest Pain Consultants P C
• Daniel Miller, PHARMD
• Joshua Miller, PHARMD
• Stephanie L Milton
• Latonia R Moore-Galberth, CM
• Maria Morfin
• Katherine M Morgan
• Carli Morrisett
• Eleanor Mustachia
• Elisabeth Mustachia, APRN

• All providers in Del City, OK
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.