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TRACY RENE MOORE LPN,CSFA
NPI 1033982053
Licensed Practical Nurse in Shiloh, IL

Active since November 01, 2023
1404 CROSS ST, SHILOH, IL 62269(618) 607-1000 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy Rene Moore Lpn,csfa NPPES

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

TRACY RENE MOORE LPN,CSFA (NPI 1033982053) is an individual licensed practical nurse in Shiloh, Illinois, licensed in Illinois (043116387) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1033982053
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTRACY RENE MOORECredential: LPN,CSFA
Location Address1404 CROSS STShiloh, IL 62269-2988
Mailing Address305 Marilyn DrNew Baden, IL 62265-1103 · (618) 698-3620
Phone(618) 607-1000
Sole ProprietorNo
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1033982053 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 IL · 043116387
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.

1404 CROSS ST, Shiloh, IL 62269
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Other Providers at the Same Location NPPES 15

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

METRO-EAST SERVICES, INC.
General Acute Care Hospital
1404 CROSS ST
SHILOH, IL 62269
St. Clair County (618) 257-5607
DHP OF ILLINOIS SC
Obstetrics & Gynecology
1404 CROSS ST
SHILOH, IL 62269
St. Clair County (618) 607-1000
CEP AMERICA ILLINOIS LLP
Emergency Medicine
1404 CROSS ST
SHILOH, IL 62269
St. Clair County (618) 233-7750
METRO-EAST SERVICES, INC.
Clinical Medical Laboratory
1404 CROSS ST
O FALLON, IL 62269
St. Clair County (618) 607-1000
LYDIA NOEL DAVIS APRN
Nurse Practitioner (Family)
1404 CROSS ST
SHILOH, IL 62269
St. Clair County (618) 607-1000
OA ASSOCIATES, LLC
Orthopaedic Surgery
1404 CROSS ST, 2ND FLOOR SUITE 2941
SHILOH, IL 62269
St. Clair County (618) 234-9884
CEP AMERICIA-ILLINOIS INTENSIVISTS
Internal Medicine (Critical Care Medicine)
1404 CROSS ST
SHILOH, IL 62269
St. Clair County (618) 233-7750
CA GROUP, LLC
Internal Medicine (Clinical Cardiac Electrophysiology)
1404 CROSS ST, SUITE 2940
SHILOH, IL 62269
St. Clair County (618) 607-3700

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 Tracy Moore's NPI number?

The NPI number for Tracy Moore is 1033982053. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Tracy Moore located?

Tracy Moore practices at 1404 Cross St, Shiloh, IL 62269. The listed phone number is (618) 607-1000.

What is Tracy 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 Tracy Moore was last updated on November 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.