Shani Moore, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

346778 Issued in NY

Practice address

129 Rockaway Ave # 1114
Valley Stream, NY 11580-5812

Phone

(929) 216-9627

NPI assigned

Jan 9, 2025

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

State licenses

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1992515134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 KISSENA BLVD APT 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671515",
            "telephone_number": "929-216-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 ROCKAWAY AVE # 1114",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805812",
            "telephone_number": "929-216-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHANI",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "346778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Moore, BCBA-D
• Marion Moore
• Michael Victor Andrew Moore
• Natasha Moore
• Nicole Patricia Moore, NP
• Muhammad Moral, M.D.
• Johnola Thirza Morales, LMSW
• Natasha Morales, MA, LMHC
• Marcia Dinora Moran
• Aurianna Janelle Moreno

• Licensed Practical Nurse in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.