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MRS. NYEASHA NICOLE MOORE LVN
NPI 1164362117
Licensed Vocational Nurse in Los Angeles, CA

Active since March 30, 2026
12021 WILMINGTON AVE BLDG 18, LOS ANGELES, CA 90059(424) 454-6042 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2026, Apr 2, 2026 (2 updates tracked since 2026).

About Mrs. Nyeasha Nicole Moore Lvn NPPES

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

MRS. NYEASHA NICOLE MOORE LVN (NPI 1164362117) is an individual licensed vocational nurse in Los Angeles, California, licensed in California (VN754219) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1164362117
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMRS. NYEASHA NICOLE MOORECredential: LVN
Location Address12021 WILMINGTON AVE BLDG 18Los Angeles, CA 90059-3019
Mailing Address6709 La Tijera Blvd Ste 470Los Angeles, CA 90045-2017 · (323) 723-4224
Phone(424) 454-6042
Sole ProprietorNo
Enumeration DateMarch 30, 2026
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1164362117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · VN754219
Definition

A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

12021 WILMINGTON AVE BLDG 18, Los Angeles, CA 90059
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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.

YOLANDA WHITE FUQUAY
Community Health Worker
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5000
DUKE MARKO DIAZ NAVERA
Licensed Vocational Nurse
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (213) 952-5153
BRENDA ESPINOZA
Day Training/Habilitation Specialist
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 444-9050
HOLLY HENDERSON
Day Training/Habilitation Specialist
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (626) 644-0084
DAVID NEGRETE HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001
JENNIFER PINEDA
Behavior Technician
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5530
NDIDIAMAKA AMADI LVN
Licensed Vocational Nurse
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5470
EXODUS RECOVERY, INC.
Community/Behavioral Health
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (562) 295-4617

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 Nyeasha Moore's NPI number?

The NPI number for Nyeasha Moore is 1164362117. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Nyeasha Moore located?

Nyeasha Moore practices at 12021 Wilmington Ave Bldg 18, Los Angeles, CA 90059. The listed phone number is (424) 454-6042.

What is Nyeasha Moore's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Nyeasha Moore was last updated on April 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.