BETTY DEWANDA MOORE - NPI 1033000708 - Licensed Vocational Nurse in San Antonio, TX

Q: What is Betty Moore's NPI number?

The NPI number for Betty Moore is 1033000708. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Q: What is Betty Moore's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Betty Moore was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

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About Betty Dewanda Moore NPPES

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

BETTY DEWANDA MOORE (NPI 1033000708) is an individual licensed vocational nurse in San Antonio, Texas, licensed in Texas (335015) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1033000708

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameBETTY DEWANDA MOORE

Location Address7400 MERTON MINTER STSan Antonio, TX 78229-4404

Mailing Address7400 Merton Minter StSan Antonio, TX 78229-4404 · (210) 617-5300 · Fax (210) 443-0241

Phone(210) 617-5300

Fax(210) 443-0241

Sole ProprietorNo

Enumeration DateJuly 11, 2025

NPPES CertifiedJuly 11, 2025

✔ NPI 1033000708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in TX · 335015

Definition

A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

7400 MERTON MINTER ST, San Antonio, TX 78229

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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.

MS. UTE ANNA HALL LCSW

Social Worker

7400 MERTON MINTER ST, MAILCODE 122
SAN ANTONIO, TX 78229

Bexar County (210) 617-5300

DR. JOHN GIBBONS JORDAN JR. M.D., M.P.H.

Preventive Medicine (Public Health & General Preventive Medicine)