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SHANNAN GABRIELLA MOORE
NPI 1316569031
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since May 15, 2020PECOS Enrolled
MSC11 6052 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-6120 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2025, Apr 1, 2025, May 15, 2020 (3 updates tracked since 2020).

About Shannan Gabriella Moore NPPES

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

SHANNAN GABRIELLA MOORE (NPI 1316569031) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2025-0059) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316569031
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNAN GABRIELLA MOORE
Location AddressMSC11 6052 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc11 6052 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-6120
Phone(505) 272-6120
Sole ProprietorNo
Enumeration DateMay 15, 2020
Last NPPES UpdateMay 8, 20253 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1316569031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NM · RS2025-0059
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MSC11 6052 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannan Gabriella Moore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Shannan Moore's NPI number?

The NPI number for Shannan Moore is 1316569031. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Where is Shannan Moore located?

Shannan Moore practices at Msc11 6052 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-6120.

What is Shannan Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannan Moore enrolled in Medicare?

Yes. Shannan Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannan Moore was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.