Tammy Moore, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

47475 Issued in CA

Practice address

16766 Bernardo Center Dr Ste 203
San Diego, CA 92128-2502

Phone

(760) 443-9103

NPI assigned

Jun 11, 2019

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851950927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12166 BAJADA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282026",
            "telephone_number": "760-443-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282502",
            "telephone_number": "760-443-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14530 Espola Rd",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920643168",
            "country_code": "US",
            "telephone_number": "760-443-9103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TAMMY",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "47475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Moore
• Shannon Moore
• Shannon Yvette Moore, MD, MPH
• Shavon Cherelle Moore, MD
• Tahelmisha Moore
• Tatiana M. Moore, MFT
• Thomas Ian Moore
• Victoria Moore, PSY.D
• Wendi Lynn Moore, LCSW
• Wendy Heather Moore, O.T.

• Massage Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.