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: August 16, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Moore's NPI number?

The NPI number for Crystal Moore is 1164170189. It was assigned to this individual provider in the NPPES registry on March 17, 2022.

Where is Crystal Moore located?

Crystal Moore practices at 2115 W Roosevelt Dr, Milwaukee, WI 53209. The listed phone number is (414) 207-0551.

What is Crystal Moore's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Crystal Moore was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.