Jennifer Moore

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

37V117517062 Issued in OK

Practice address

260 B St
Dickinson, ND 58601-6105

Phone

(701) 300-3103

NPI assigned

Feb 29, 2024

Last updated

Feb 29, 2024By 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 4

Addresses

Other names 1

• Jennifer Casey Former name

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1952168528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 B ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016105",
            "telephone_number": "701-300-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 B ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016105",
            "telephone_number": "701-300-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OK",
            "license": "37V117517062",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CASEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Mocabee-Sisco, MRC,CRC
• Wendy G Moffett
• Sarah K Monke
• Rachel L. Monroe, DPT
• Benjamin Montgomery
• Jodi Moore, PA-C
• Charla Rae Morin
• Chelsey Morlock, OTD, OTR/L
• Brooke Victoria Morris, FNP-C
• Awna Marie Mortenson, PHARMD

• Home Health Aide in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Home Health Aide in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.