Deasia Moore

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

722968 Issued in NY

Practice address

10 Josephine Dr
Washingtonville, NY 10992-1000

Phone

(917) 577-7791

NPI assigned

May 25, 2016

Reactivated

Nov 21, 2024

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1902254485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JOSEPHINE DR",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921000",
            "telephone_number": "917-577-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JOSEPHINE DR",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921000",
            "telephone_number": "917-577-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DEASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "deactivation_date": "2018-02-08",
        "reactivation_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "323577",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "722968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middletown Community Health Center, Inc.
• Barbara A Milmore, FNP
• Erin Elizabeth Milteer, LMSW
• Monell Engine Comany
• Montefiore Medical Center
• Jennifer Moragas, LMHC
• Grecia J Moran, WHNP
• Joanna Moses, MA
• Laurie Murphy
• Hannah Myett, B.A., OSC

• Medical-Surgical Registered Nurse in Washingtonville, NY
• Providers in Washingtonville, NY by specialty
• Medical-Surgical Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.