Shaqcore Moodie

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

327350-1 Issued in NY

Practice address

127 E 45TH St
Brooklyn, NY 11203-1812

Phone

(347) 319-6727

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 2016By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1902341217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031812",
            "telephone_number": "347-319-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031812",
            "telephone_number": "347-319-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODIE",
        "first_name": "SHAQCORE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "327350-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montrose Dental PC
• Chrystina Elizabeth Australia Montuori Sorrentino, MD
• Vidya Krish Mony, D.O.
• Juniper Meadowlark Monypenny, MA LCAT ATR-BC
• Christina Monzon
• Tudy-Ann Moodie, RN
• John Moody, PAC
• Raymond L. Moody, PH.D.
• Shannon Moody, M.S., CCC-SLP
• Moon Physical Therapy, PC

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.