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JACQUELYN MOORE
NPI 1154121028
Day Training/Habilitation Specialist in Omaha, NE

Active since March 18, 2025
11306 BIRCH PLZ APT 7, OMAHA, NE 68164(402) 614-6194 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacquelyn Moore NPPES

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

JACQUELYN MOORE (NPI 1154121028) is an individual day training/habilitation specialist in Omaha, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1154121028
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameJACQUELYN MOORE
Location Address11306 BIRCH PLZ APT 7Omaha, NE 68164-2744
Mailing Address15418 Weir St # 317Omaha, NE 68137-5045 · (402) 614-6194
Phone(402) 614-6194
Sole ProprietorYes
Enumeration DateMarch 18, 2025
Last NPPES UpdateAugust 23, 2025
NPPES CertifiedAugust 23, 2025
✔ NPI 1154121028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedAdult CompanionTaxonomy 372600000X
11306 BIRCH PLZ APT 7, Omaha, NE 68164
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Other Providers at the Same Location NPPES 8

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

SERENA VIGIL
Day Training/Habilitation Specialist
11306 BIRCH PLZ APT 7
OMAHA, NE 68164
Douglas County (402) 614-6194
YOUTH CARE AND BEYOND, INC
In Home Supportive Care
11306 BIRCH PLZ APT 7
OMAHA, NE 68164
Douglas County (402) 991-9709
LANETTE MOORE
Day Training/Habilitation Specialist
11306 BIRCH PLZ APT 7
OMAHA, NE 68164
Douglas County (402) 614-6194
MR. DEANTE D BENNETT
Day Training/Habilitation Specialist
11306 BIRCH PLZ APT 7
OMAHA, NE 68164
Douglas County (402) 614-6194
ELISHA ISRAEL MOORE
Day Training/Habilitation Specialist
11306 BIRCH PLZ APT 7
OMAHA, NE 68164
Douglas County (402) 614-9194
MR. MASON MCMANIS
Day Training/Habilitation Specialist
11306 BIRCH PLZ APT 7
OMAHA, NE 68164
Douglas County (402) 991-9709
CHLOE MCMANIS
Day Training/Habilitation Specialist
11306 BIRCH PLZ APT 7
OMAHA, NE 68164
Douglas County (402) 991-9709
MRS. JUDY K ROSENTHAL
Day Training/Habilitation Specialist
11306 BIRCH PLZ APT 7
OMAHA, NE 68164
Douglas County (402) 650-8325

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 Jacquelyn Moore's NPI number?

The NPI number for Jacquelyn Moore is 1154121028. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Jacquelyn Moore located?

Jacquelyn Moore practices at 11306 Birch Plz Apt 7, Omaha, NE 68164. The listed phone number is (402) 614-6194.

What is Jacquelyn Moore's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Moore was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.