Maureen Moore

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

115699 Issued in MO

Practice address

7310 Summertime Dr
Saint Louis, MO 63129-5740

Phone

(314) 846-8243

NPI assigned

Nov 26, 2018

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

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": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1821568569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 SUMMERTIME DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631295740",
            "telephone_number": "314-846-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 SUMMERTIME DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631295740",
            "telephone_number": "314-846-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "115699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Caroline Moore
• Marnice Moore
• Marquita Lanae Eldridge Moore, LPN
• Mary Ann Moore, L.C.S.W.
• Mary Wells Moore, MSW LCSW
• Meghan Marie Moore, LPC
• Melisa R Moore, ANP
• Michelle P Moore, LPC
• Nathan Herling Moore, MD
• Nikitsha L Moore, RN MSN

• Physical Medicine & Rehabilitation Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.