Jiaymeta Moore

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

239 Elm St NE
Albuquerque, NM 87102-3672

Phone

(505) 242-1010

Fax

(505) 242-1515

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1851025142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2582 CAMINO PLATA LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445825",
            "telephone_number": "575-791-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023672",
            "telephone_number": "505-242-1010",
            "fax_number": "505-242-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JIAYMETA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "1517",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadin Carolina Moore
• Jamaal Moore, LMSW
• Jeanette Moore, LMT
• Jeanie Moore
• Jennifer Nicole Moore
• John-Robert Calvin Moore, D.C.
• Karla Rae Moore, LMHC, LSAA
• Katharine Jeanne Moore, FNP-BC
• Kathleen Moore
• Kathleen Mary Moore, LISW

• Case Manager/Care Coordinator in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.