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MARISA MOORE LVN
NPI 1225920622
Licensed Vocational Nurse in Sacramento, CA

Active since July 18, 2025
310 HARRIS AVE STE A, SACRAMENTO, CA 95838(916) 659-6680 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marisa Moore Lvn NPPES

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

MARISA MOORE LVN (NPI 1225920622) is an individual licensed vocational nurse in Sacramento, California, licensed in California (752074) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1225920622
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMARISA MOORECredential: LVN
Location Address310 HARRIS AVE STE ASacramento, CA 95838-3249
Mailing Address310 Harris Ave Ste ASacramento, CA 95838-3249
Phone(916) 659-6680
Sole ProprietorNo
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1225920622 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 · 752074
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.
310 HARRIS AVE STE A, Sacramento, CA 95838
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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.

JENNIFER LYNN TERRERI
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
TRAVIS FRANKLIN
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
CION ROSE PERFECTO
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
AMANDA SELF SUDRC 13199
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
DAN LEMUEL DIRECTO JACOB
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
DOMINIQUE JENKINS LVN
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
MS. MELANIE ELAINE PHILLIPS CADC II
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
LUCY CRUZ RENTERIA CCMA
Case Manager/Care Coordinator
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793

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 Marisa Moore's NPI number?

The NPI number for Marisa Moore is 1225920622. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Marisa Moore located?

Marisa Moore practices at 310 Harris Ave Ste A, Sacramento, CA 95838. The listed phone number is (916) 659-6680.

What is Marisa 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 Marisa Moore was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.