Laura Moore, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R877261 Issued in MS

Practice address

1465 Lakeland Dr
Jackson, MS 39216-4719

Phone

(769) 777-1080

NPI assigned

May 28, 2015

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1952780561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164719",
            "telephone_number": "769-777-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164719",
            "telephone_number": "769-777-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAURA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R877261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Ann Lampton Moore, M.D.
• Justin Boone Moore, MD
• Keri H Moore, PT, DPT, NCS
• Kimberly Knight Moore, LCSW
• Latrece Moore
• Makayla Moore
• Mary (Molly) McCaffery Moore, FNP-BC
• McKayla Warren Moore, DNP, CRNA
• Pamela Teresa Moore, APRN/NNP-BC, RN
• Paul H Moore III, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.