Tashawna Moore

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2722 Hering Ave
Bronx, NY 10469-5321

Phone

(800) 632-7969

NPI assigned

May 3, 2021

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ra Psychiatric NP Services PLLC

  • Psychiatry Physician
  • Bronx, NY
  • NPI 1023626678
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1861075384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 HERING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695321",
            "telephone_number": "800-632-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 HERING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695321",
            "telephone_number": "800-632-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TASHAWNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queenasia Simone Moore, LMT
• Robert Michael Moore, MD
• Sharona Changes Moore, MSW
• Stephanie Moore
• Susanna Dorothy Moore
• Yvonne Moore, MSW
• Danielle Moorer, MD
• Davaughn Moorer
• Rhonda N Moorer, LMSW
• Rizvan Moosvi, DDS

• Mental Health Counselor in Bronx, NY
• Providers in Bronx, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.