ALEXANDRIA NINA MOORE
NPI 1104496280
Peer Specialist in Stilwell, OK

Q: What is Alexandria Moore's NPI number?

The NPI number for Alexandria Moore is 1104496280. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Q: What is Alexandria Moore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexandria Moore was last updated on June 30, 2021. 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.

Active since June 30, 2021

716 S 2ND ST STE 101, STILWELL, OK 74960(918) 696-6212 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Alexandria Nina Moore NPPES

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

ALEXANDRIA NINA MOORE (NPI 1104496280) is an individual peer specialist in Stilwell, Oklahoma and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1104496280

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameALEXANDRIA NINA MOORE

Location Address716 S 2ND ST STE 101Stilwell, OK 74960-4806

Mailing Address3845 Southridge Cir Apt 10Tahlequah, OK 74464-7955 · (561) 901-1043

Phone(918) 696-6212

Sole ProprietorNo

Enumeration DateJune 30, 2021

NPPES CertifiedJune 30, 2021

✔ NPI 1104496280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

716 S 2ND ST STE 101, Stilwell, OK 74960

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Other Providers at the Same Location NPPES 4

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

CASSIE LATIMER

Counselor

716 S 2ND ST STE 101
STILWELL, OK 74960

Adair County (918) 696-6212

CREOKS MENTAL HEALTH SERVICES

Community/Behavioral Health

716 S 2ND ST STE 101
STILWELL, OK 74960

Adair County (918) 346-7464

MRS. CHERRYL KATHLINE BUNCH

Case Manager/Care Coordinator

716 S 2ND ST STE 101
STILWELL, OK 74960

Adair County (918) 696-6212

MIRANDA WORKMAN

Counselor

716 S 2ND ST STE 101
STILWELL, OK 74960

Adair County (918) 696-6212

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 Alexandria Moore's NPI number?

The NPI number for Alexandria Moore is 1104496280. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Alexandria Moore located?

Alexandria Moore practices at 716 S 2nd St Ste 101, Stilwell, OK 74960. The listed phone number is (918) 696-6212.

What is Alexandria Moore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Alexandria Moore was last updated on June 30, 2021. 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.