Latisha Moore, BS

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

139 W 3Rd Street
Washington, NC 27889-3565

Phone

(252) 940-7260

Fax

(252) 940-7261

NPI assigned

Dec 24, 2006

Last updated

Jan 7, 2008By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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.

• Unified Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Washington, NC
  • NPI 1407188832

  Case Management

  NPD (past) Authorized official

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1992860670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W 3RD STREET",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894970",
            "telephone_number": "252-940-7260",
            "fax_number": "252-940-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W 3RD STREET",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893565",
            "telephone_number": "252-940-7260",
            "fax_number": "252-940-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LATISHA",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-24",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-007-062",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Modlin, DO
• Jeffrey Mohr, CST-CSFA
• Monarch
• Monarch
• Brodie Moore, EMT-B
• Tierra La'Shay Moore, FNP
• Misty Mooring, PTA
• Katherine Ann Moravec, MD
• Mosaic Minds Center for Autism & Neurodivergent Learning
• Amanda G Mundo, RN

• Case Management Agency in Washington, NC
• Providers in Washington, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.