KEENNA MOORE
NPI 1336534197
Case Manager/Care Coordinator in Commack, NY

Q: What is Keenna Moore's NPI number?

The NPI number for Keenna Moore is 1336534197. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Keenna Moore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Keenna Moore was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 30, 2015

137 HARNED RD, COMMACK, NY 11725(631) 543-6765 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Keenna Moore NPPES

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

KEENNA MOORE (NPI 1336534197) is an individual case manager/care coordinator provider in Commack, New York and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1336534197

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKEENNA MOORE

Location Address137 HARNED RDCommack, NY 11725-4203

Mailing Address193 Mckinley DrMastic Beach, NY 11951-5611 · (631) 394-8778

Phone(631) 543-6765

Sole ProprietorNo

Enumeration DateMarch 30, 2015

✔ NPI 1336534197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

137 HARNED RD, Commack, NY 11725

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A POSITIVE PHYSICAL THERAPY APPROACH PLLC

Early Intervention Provider Agency

137 HARNED RD
COMMACK, NY 11725

Suffolk County (631) 543-6765

POSITIVE OUTCOME PHYSICAL THERAPY PC

Early Intervention Provider Agency

137 HARNED RD
COMMACK, NY 11725

Suffolk County (631) 543-6765

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 Keenna Moore's NPI number?

The NPI number for Keenna Moore is 1336534197. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Keenna Moore located?

Keenna Moore practices at 137 Harned Rd, Commack, NY 11725. The listed phone number is (631) 543-6765.

What is Keenna Moore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Keenna Moore was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.