CONNIE LAVERNE MOORE
NPI 1104438688
Licensed Practical Nurse in Washington, DC

Active since August 17, 2020
1100 NEW JERSEY AVE SE STE 845, WASHINGTON, DC 20003(202) 545-6980 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Connie Laverne Moore NPPES

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

CONNIE LAVERNE MOORE (NPI 1104438688) is an individual licensed practical nurse in Washington, District Of Columbia, licensed in District Of Columbia (LPN1008911) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1104438688
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCONNIE LAVERNE MOORE
Location Address1100 NEW JERSEY AVE SE STE 845Washington, DC 20003-3338
Mailing Address1100 New Jersey Ave Se Ste 845Washington, DC 20003-3338 · (202) 545-6980
Sole ProprietorNo
Enumeration DateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
NPI 1104438688 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 DC · LPN1008911
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.
1100 NEW JERSEY AVE SE STE 845, Washington, DC 20003

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.

Licensed Practical Nurse
1100 NEW JERSEY AVE SE STE 845
WASHINGTON, DC 20003
Registered Nurse
1100 NEW JERSEY AVE SE STE 845
WASHINGTON, DC 20003
Licensed Practical Nurse
1100 NEW JERSEY AVE SE STE 845
WASHINGTON, DC 20003
Licensed Practical Nurse
1100 NEW JERSEY AVE SE STE 845
WASHINGTON, DC 20003
Registered Nurse
1100 NEW JERSEY AVE SE STE 845
WASHINGTON, DC 20003
Home Health Aide
1100 NEW JERSEY AVE SE STE 845
WASHINGTON, DC 20003
Licensed Practical Nurse
1100 NEW JERSEY AVE SE STE 845
WASHINGTON, DC 20003
Licensed Practical Nurse
1100 NEW JERSEY AVE SE STE 845
WASHINGTON, DC 20003

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 Connie Moore's NPI number?

The NPI number for Connie Moore is 1104438688. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Connie Moore located?

Connie Moore practices at 1100 New Jersey Ave SE Ste 845, Washington, DC 20003. The listed phone number is (202) 545-6980.

What is Connie 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 Connie Moore was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.