Samantha Nicole Gibbs Moore
Individual provider Active NPI Personal Care Attendant · Washington, DC
NPI 1831778463 · NPPES record last updated Apr 2, 2021
Key facts
- NPI
- 1831778463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 611 Fern PL NW
Washington, DC 20012-1827 - Phone
- (443) 346-4520
- NPI assigned
- Apr 2, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
611 Fern PL NW
Washington, DC 20012-1827
Mailing address
833 4TH St
Laurel, MD 20707-5101
Phone (202) 751-0070
Other providers in Washington, DC
- Kelly Kathleen Gibbons
- Laurence O Gibbons Jr.
- Martha Blechar Gibbons
- Megan Gibbons
- Myles D Gibbons
- Brittany Gibbs
- Hunter R Gibbs
- Karen Lee Gibbs
- Molly Alexa Gibbs
- Sabrina Gibbs
All providers in Washington, DC · Personal Care Attendant in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.