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MICKALLA MOORE LVN
NPI 1346042512
Licensed Vocational Nurse in Anderson, CA

Active since March 26, 2025
1901 BARNEY RD, ANDERSON, CA 96007(530) 410-2290 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mickalla Moore Lvn NPPES

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

MICKALLA MOORE LVN (NPI 1346042512) is an individual licensed vocational nurse in Anderson, California, licensed in California (740224) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1346042512
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameMICKALLA MOORECredential: LVN
Location Address1901 BARNEY RDAnderson, CA 96007-4301
Mailing Address1640 Victor Ave Apt 50Redding, CA 96003-4050 · (530) 410-2290
Phone(530) 410-2290
Sole ProprietorNo
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1346042512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 740224
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
1901 BARNEY RD, Anderson, CA 96007
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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.

MARCUS ELLIOT HEWITT
Day Training/Habilitation Specialist
1901 BARNEY RD
ANDERSON, CA 96007
Shasta County (916) 642-7800
MR. STEVEN EDWARD AHRENS DDS
Dentist (General Practice)
1901 BARNEY RD
ANDERSON, CA 96007
Shasta County (530) 365-0133
ALYSSA ELLINGTON
Day Training/Habilitation Specialist
1901 BARNEY RD
ANDERSON, CA 96007
Shasta County (916) 642-7800
EMILY COX
Day Training/Habilitation Specialist
1901 BARNEY RD
ANDERSON, CA 96007
Shasta County (916) 288-9882
JOSHLYNN ROSE TURNER
Community Health Worker
1901 BARNEY RD
ANDERSON, CA 96007
Shasta County (916) 642-7800
BRANDY BRYANT
Community Health Worker
1901 BARNEY RD
ANDERSON, CA 96007
Shasta County (530) 665-8402
MRS. ADELINE JOSEPHINE BOEHME LVN
Licensed Vocational Nurse
1901 BARNEY RD
ANDERSON, CA 96007
Shasta County (916) 642-7800
SABRINA OLSON
Community Health Worker
1901 BARNEY RD
ANDERSON, CA 96007
Shasta County (530) 665-8402

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 Mickalla Moore's NPI number?

The NPI number for Mickalla Moore is 1346042512. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Mickalla Moore located?

Mickalla Moore practices at 1901 Barney Rd, Anderson, CA 96007. The listed phone number is (530) 410-2290.

What is Mickalla Moore's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Mickalla Moore was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.