Ceola P. Moore

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

905792 Issued in MS

Practice address

628 N Pleasant Hill Rd
Newhebron, MS 39140-4028

Phone

(601) 260-4277

NPI assigned

Mar 5, 2019

Last updated

Apr 9, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassionate Nursing Home Care LLC.

  • In Home Supportive Care Agency
  • Newhebron, MS
  • NPI 1487298972
  NPD Authorized official
• Concierge Lab LLC

  • Clinic/Center
  • Newhebron, MS
  • NPI 1811643687
  NPD Authorized official

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1922566256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 N PLEASANT HILL RD",
            "city": "NEWHEBRON",
            "state": "MS",
            "postal_code": "391404028",
            "telephone_number": "601-260-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N PLEASANT HILL RD",
            "city": "NEWHEBRON",
            "state": "MS",
            "postal_code": "391404028",
            "telephone_number": "601-260-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CEOLA",
        "middle_name": "P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "905792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethel C Foster, CFNP
• Melonie Showers Graves, NP
• Julie Smythe Harper, NP
• Betsy Virginia Henderson, RD, LD
• Lee's Drug Store
• Roshekia Isola Rhodes, CNA

• Registered Nurse in Newhebron, MS
• Providers in Newhebron, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.