LISA MOORE
NPI 1114357068
Case Manager/Care Coordinator in Boley, OK

Q: What is Lisa Moore's NPI number?

The NPI number for Lisa Moore is 1114357068. It was assigned to this individual provider in the NPPES registry on November 13, 2013.

Q: What is Lisa Moore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Moore was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 November 13, 2013

ROUTE 1 BOX 35D, BOLEY, OK 74829(918) 667-3367(918) 667-3387 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Moore NPPES

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

LISA MOORE (NPI 1114357068) is an individual case manager/care coordinator provider in Boley, Oklahoma and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1114357068

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameLISA MOORE

Location AddressROUTE 1 BOX 35DBoley, OK 74829

Mailing AddressPo Box 218Boley, OK 74829 · (918) 667-3367 · Fax (918) 667-3387

Phone(918) 667-3367

Fax(918) 667-3387

Sole ProprietorNo

Enumeration DateNovember 13, 2013

✔ NPI 1114357068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

ROUTE 1 BOX 35D, Boley, OK 74829

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Other Identifiers 1

Medicaid100685660AOK

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 Lisa Moore's NPI number?

The NPI number for Lisa Moore is 1114357068. It was assigned to this individual provider in the NPPES registry on November 13, 2013.

Where is Lisa Moore located?

Lisa Moore practices at Route 1 Box 35D, Boley, OK 74829. The listed phone number is (918) 667-3367.

What is Lisa Moore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Lisa Moore was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.