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NYIESHA MOORE RN
NPI 1235718933
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Active since April 07, 2021
4900 BROAD RD, SYRACUSE, NY 13215(315) 492-5635 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2021, Apr 7, 2021 (2 updates tracked since 2021).

About Nyiesha Moore Rn NPPES

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

NYIESHA MOORE RN (NPI 1235718933) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (403527) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1235718933
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNYIESHA MOORECredential: RN
Location Address4900 BROAD RDSyracuse, NY 13215-2265
Mailing Address4900 Broad RdSyracuse, NY 13215-2265
Phone(315) 492-5635
Sole ProprietorNo
Enumeration DateApril 7, 2021
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1235718933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403527
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 701128 (NY)
4900 BROAD RD, Syracuse, NY 13215
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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.

IANNA JAVIER GARCIA OTR/L
Occupational Therapist
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5011
ROBERT A WORDEN CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5522
HEIDI GLOVACK CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5553
JOHN F MURPHY CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 470-7828
MS. TERRY LEE WHITE RN FNP
Nurse Practitioner (Family)
4900 BROAD RD, SUITE 4K
SYRACUSE, NY 13215
Onondaga County (315) 492-5784
MS. SIGRID A. MARFO CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5522
SURJIT K DHAMOON MD PC
Psychiatry & Neurology (Neurology)
4900 BROAD RD, CGH POB SUITE 2F
SYRACUSE, NY 13215
Onondaga County (315) 492-5841
MR. R. THOMAS WEINHEIMER P.A.
Physician Assistant
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 251-3100

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 Nyiesha Moore's NPI number?

The NPI number for Nyiesha Moore is 1235718933. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Nyiesha Moore located?

Nyiesha Moore practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5635.

What is Nyiesha Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Nyiesha Moore was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.