Tamara Moore

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

6381 SW 10TH St
North Lauderdale, FL 33068-2717

Phone

(954) 630-5741

NPI assigned

Mar 13, 2017

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

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.

• Family Net Inc.

  • Community/Behavioral Health Agency
  • North Lauderdale, FL
  • NPI 1942559620
  NPD Authorized official
• Inspiration Case Management Agency

  • Case Management Agency
  • Mableton, GA
  • NPI 1265296529
  NPD Authorized official

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1891236642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6381 SW 10TH ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6381 SW 10TH ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682717",
            "telephone_number": "954-630-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shemika Natasha Missick/Seymour
• Jamesa Latrice Mitchell
• Joselyn Montero
• Nathalie Monuma, ARNP
• Mark Moore, BEHAVIOR TECHNICIAN
• Shanika Morris, LMT
• Twyla Marie Moses, PCT
• Aquayjah Jatierra Mosley
• Crystal Motay
• Lileen M Nevers-Emilimor, LMHC

• Community Health Worker in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.