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MRS. LAVON RENA MOORE NURSE
NPI 1154639805
Licensed Practical Nurse in San Antonio, TX

Active since September 15, 2010
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229(210) 617-5300 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lavon Rena Moore Nurse NPPES

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

MRS. LAVON RENA MOORE NURSE (NPI 1154639805) is an individual licensed practical nurse in San Antonio, Texas, licensed in Ohio (PN-121466) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1154639805
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. LAVON RENA MOORECredential: NURSE
Location Address7400 MERTON MINTER STSan Antonio, TX 78229-4404
Mailing Address5455 Rowley Rd Unit 5103San Antonio, TX 78240-4825 · (216) 816-7754
Phone(210) 617-5300
Sole ProprietorYes
Enumeration DateSeptember 15, 2010
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1154639805 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 OH · PN-121466
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.
7400 MERTON MINTER ST, San Antonio, TX 78229
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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.

MS. UTE ANNA HALL LCSW
Social Worker
7400 MERTON MINTER ST, MAILCODE 122
SAN ANTONIO, TX 78229
Bexar County (210) 617-5300
DR. JOHN GIBBONS JORDAN JR. M.D., M.P.H.
Preventive Medicine (Public Health & General Preventive Medicine)
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229
Bexar County (210) 617-5300
ANDREA LEIGH MORA PHARMD
Pharmacist
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229
Bexar County (210) 617-5300
STACEY ADAMS LMSW
Social Worker
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229
Bexar County (210) 617-5300
ELIZABETH A HALLMAN ACNP-BC
Nurse Practitioner (Acute Care)
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229
Bexar County (210) 617-5300
ORVILLE LIVINGSTONE BLAKE OTR/L, MOT
Occupational Therapist
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229
Bexar County (210) 617-5300
DR. NATALIE KATHLEEN ROCHESTER PH.D.
Psychologist
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229
Bexar County (210) 699-2100
RUTH ANN SALLOMAN RUSIANA REGISTERED NURSE
Registered Nurse
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229
Bexar County (210) 617-5300

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 Lavon Moore's NPI number?

The NPI number for Lavon Moore is 1154639805. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Where is Lavon Moore located?

Lavon Moore practices at 7400 Merton Minter St, San Antonio, TX 78229. The listed phone number is (210) 617-5300.

What is Lavon 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 Lavon Moore was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.