Donna Lynn Moore, ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS1441 Issued in FL

Practice address

5620 Tara Blvd Ste 103
Bradenton, FL 34203-8865

Phone

(941) 254-0861

NPI assigned

Sep 21, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Donna Lynn Moore 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": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1982955506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 9TH AVENUE CIR NE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342129559",
            "telephone_number": "941-254-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 TARA BLVD STE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342038865",
            "telephone_number": "941-254-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DONNA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "MOORE",
            "middle_name": "LYNN",
            "credential": "MOORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Celeste M Montoya, APRN
• Denis Monzin, D.M.D.
• Mary B Moonen, MSW
• Brittany Moore, M.D.
• Christy Moore, DC
• Jade Lashae Moore, NP
• Kelly Moore
• Mary L Moore
• Noel Cyril Moore, MAPM, BC-HIS, A.C.A.
• Victoria Moore, APRN

• School Psychologist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.