TINA SHERAE MOORE LPN
NPI 1235817990
Licensed Practical Nurse in Elsmere, KY

Q: What is Tina Moore's NPI number?

The NPI number for Tina Moore is 1235817990. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Q: What is Tina Moore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Moore was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since July 11, 2023

4135 DIXIE HWY, ELSMERE, KY 41018(833) 510-4357 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, Jul 11, 2023 (2 updates tracked since 2023).

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About Tina Sherae Moore Lpn NPPES

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

TINA SHERAE MOORE LPN (NPI 1235817990) is an individual licensed practical nurse in Elsmere, Kentucky, licensed in Kentucky (2045198) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1235817990

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTINA SHERAE MOORECredential: LPN

Location Address4135 DIXIE HWYElsmere, KY 41018-1815

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (833) 510-4357

Phone(833) 510-4357

Sole ProprietorNo

Enumeration DateJuly 11, 2023

Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2024

✔ NPI 1235817990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in KY · 2045198

Definition

A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4135 DIXIE HWY, Elsmere, KY 41018

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