Patryce Jeanale Moore

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

2350-24-0013 Issued in IN

Practice address

3840 N Sherman Dr
Indianapolis, IN 46226-4462

Phone

(317) 541-2920

NPI assigned

Mar 24, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1861663494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 N SHERMAN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462264462",
            "telephone_number": "317-541-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 N SHERMAN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462264462",
            "telephone_number": "317-541-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PATRYCE",
        "middle_name": "JEANALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IN",
            "license": "2350-24-0013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200503650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Kaye Moore, LMHC-A
• Michael Geoffrey Moore, M.D.
• Nieka Moore
• Patricia S Moore, STAFF NURSE
• Patrick Dale Moore, D.C.
• Patty Lynn Moore, LCSW
• Polly Anne Moore, MD
• Priscilla Hope Moore
• Reilin James Moore, M.D.
• Rosalie Moore, NP

• Case Manager/Care Coordinator in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Case Manager/Care Coordinator in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.