Teresa Moore

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

287241 Issued in FL

Practice address

108 Bridgeport Way
Kissimmee, FL 34758-4139

Phone

(407) 914-6831

Fax

(407) 978-6087

NPI assigned

Jan 16, 2016

Last updated

Jan 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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.

• Teresa Moore

  • Home Health Agency
  • Kissimmee, FL
  • NPI 1780031021
  NPD (past) Authorized official

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452902400000",
    "number": "1942667365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BRIDGEPORT WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584139",
            "telephone_number": "407-914-6831",
            "fax_number": "407-978-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BRIDGEPORT WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584139",
            "telephone_number": "407-914-6831",
            "fax_number": "407-978-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-16",
        "last_updated": "2016-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "287241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Moodie, MD
• Larise Moody Allsop
• Bryon R Moore, D.C.
• Emily Moore
• Ronald Moore, RN
• Mario Felipe Moquete, M.D.
• Ailin Mora Guevara, NP
• Cely Maribel Mora Gutierrez, CBHCM-P
• Sandra Maria Mora-Cowell
• Kevin Mora

• Personal Care Attendant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.