CRYSTAL MOORE
NPI 1164170189
Contractor in Milwaukee, WI

Active since March 17, 2022
2115 W ROOSEVELT DR, MILWAUKEE, WI 53209(414) 207-0551 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crystal Moore NPPES

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

CRYSTAL MOORE (NPI 1164170189) is an individual contractor provider in Milwaukee, Wisconsin and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1164170189
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameCRYSTAL MOORE
Location Address2115 W ROOSEVELT DRMilwaukee, WI 53209-6323
Mailing Address2115 W Roosevelt DrMilwaukee, WI 53209-6323 · (414) 207-0551
Sole ProprietorNo
Enumeration DateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
NPI 1164170189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

2115 W ROOSEVELT DR, Milwaukee, WI 53209

Other Providers at the Same Location NPPES

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

Non-emergency Medical Transport (VAN)
2115 W ROOSEVELT DR
MILWAUKEE, WI 53209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164170189, enumerated as an "individual" on March 17, 2022.

The provider is located at 2115 W ROOSEVELT DR MILWAUKEE, WI 53209 and the phone number is (414) 207-0551.

Contractor with taxonomy code 171W00000X.