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NICHOLE LYNN MOORE LPN
NPI 1023671963
Licensed Practical Nurse in Dayton, OH

Active since April 16, 2019
100 ELMWOOD PARK DR, DAYTON, OH 45449(937) 247-9015 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nichole Lynn Moore Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE LYNN MOORE LPN (NPI 1023671963) is an individual licensed practical nurse in Dayton, Ohio, licensed in Ohio (126503.MEDS-IV) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1023671963
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNICHOLE LYNN MOORECredential: LPN
Location Address100 ELMWOOD PARK DRDayton, OH 45449-5402
Mailing Address901 W Washington StNew Carlisle, OH 45344-1552 · (937) 765-2229
Phone(937) 247-9015
Sole ProprietorNo
Enumeration DateApril 16, 2019
✔ NPI 1023671963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · 126503.MEDS-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
100 ELMWOOD PARK DR, Dayton, OH 45449
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RACHEL EBERLY LSW, LCDC II
Social Worker
100 ELMWOOD PARK DR
DAYTON, OH 45449
Montgomery County (937) 384-0580
DR. MICHAEL L MANCHESTER D.D.S.
Dentist (General Practice)
100 ELMWOOD PARK DR
WEST CARROLLTON, OH 45449
Montgomery County (937) 859-5133
TAMIKA LYNN DOAKES CDCA
Case Manager/Care Coordinator
100 ELMWOOD PARK DR
DAYTON, OH 45449
Montgomery County (937) 384-0580
MICHELLE BEATRICE BAKER
Counselor (Addiction (Substance Use Disorder))
100 ELMWOOD PARK DR
WEST CARROLLTON, OH 45449
Montgomery County (937) 384-0580
MS. JOHNA MARIE WHITFIELD LCDCII
Case Manager/Care Coordinator
100 ELMWOOD PARK DR
WEST CARROLLTON, OH 45449
Montgomery County (937) 384-0580
ANTHONY GOLDSBERRY CDCA
Counselor (Addiction (Substance Use Disorder))
100 ELMWOOD PARK DR
DAYTON, OH 45449
Montgomery County (937) 384-0580
BRADLEY KECK CDCA, CPRS
Counselor (Addiction (Substance Use Disorder))
100 ELMWOOD PARK DR
DAYTON, OH 45449
Montgomery County (937) 384-0580
BAILEY KRYNZEL CDCA
Counselor (Addiction (Substance Use Disorder))
100 ELMWOOD PARK DR
DAYTON, OH 45449
Montgomery County (937) 384-0580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Moore's NPI number?

The NPI number for Nichole Moore is 1023671963. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Nichole Moore located?

Nichole Moore practices at 100 Elmwood Park Dr, Dayton, OH 45449. The listed phone number is (937) 247-9015.

What is Nichole Moore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nichole Moore was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.