Essence Tierra Moore

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

E178159 Issued in CA

Practice address

6228 Manzanita Way
Riverside, CA 92504-1786

Phone

(909) 382-1408

NPI assigned

Oct 31, 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": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1902628845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 MANZANITA WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041786",
            "telephone_number": "909-382-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 MANZANITA WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925041786",
            "telephone_number": "909-382-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ESSENCE",
        "middle_name": "TIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E178159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aolana Moore
• Chantel Janiece Moore, BCBA
• Cleonna Moore
• Danielle J. Moore, LCSW
• Elizabeth Diana Moore
• Humphrey Moore, RRW
• Janine Annette Moore, MARRIAGE AND FAMILY
• Klarissa Moore
• Lindsay K Moore
• Maggie Moore, LMFI

• Basic Emergency Medical Technician in Riverside, CA
• Providers in Riverside, CA by specialty
• Basic Emergency Medical Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.