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JESSE JAMES MOORE SR.
NPI 1306712815
Peer Specialist in Las Vegas, NV

Active since October 13, 2025
3430 E RUSSELL RD STE 320, LAS VEGAS, NV 89120(702) 522-7964(702) 522-7998 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse James Moore Sr. NPPES

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

JESSE JAMES MOORE SR. (NPI 1306712815) is an individual peer specialist in Las Vegas, Nevada, licensed in Nevada (PRSS-5296) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1306712815
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJESSE JAMES MOORE SR.
Location Address3430 E RUSSELL RD STE 320Las Vegas, NV 89120-2201
Mailing Address3430 E Russell Rd Ste 320Las Vegas, NV 89120-2201 · (702) 522-7964 · Fax (702) 522-7998
Phone(702) 522-7964
Fax(702) 522-7998
Sole ProprietorNo
Enumeration DateOctober 13, 2025
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1306712815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in NV · PRSS-5296
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
3430 E RUSSELL RD STE 320, Las Vegas, NV 89120
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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 Jesse Moore's NPI number?

The NPI number for Jesse Moore is 1306712815. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Jesse Moore located?

Jesse Moore practices at 3430 E Russell Rd Ste 320, Las Vegas, NV 89120. The listed phone number is (702) 522-7964.

What is Jesse Moore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jesse Moore was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.