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MARY ALMA MOORE LPN
NPI 1457946170
Licensed Practical Nurse in Farmington, NM

Active since March 04, 2021
607 E APACHE ST, FARMINGTON, NM 87401(505) 326-2012(505) 326-2939 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Alma Moore Lpn NPPES

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

MARY ALMA MOORE LPN (NPI 1457946170) is an individual licensed practical nurse in Farmington, New Mexico, licensed in Idaho (11854) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1457946170
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY ALMA MOORECredential: LPN
Location Address607 E APACHE STFarmington, NM 87401-6925
Mailing Address607 E Apache StFarmington, NM 87401-6925 · (505) 326-2012
Phone(505) 326-2012
Fax(505) 326-2939
Sole ProprietorNo
Enumeration DateMarch 4, 2021
NPPES CertifiedMarch 4, 2021
✔ NPI 1457946170 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 ID · 11854
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.

607 E APACHE ST, Farmington, NM 87401
Open in Google Maps ↗

Other Identifiers 1

Other15072340NM · Caqh

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.

TARVIS COPELAND LPN
Licensed Practical Nurse
607 E APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 326-2012
LARISSA C GOODE-GOINGS LPN
Licensed Practical Nurse
607 E APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 326-2012
SERENA HUTCHINS RN
Registered Nurse
607 E APACHE ST
FARMINGTON, NM 87401
San Juan County (563) 593-8257
MONICA PHILLIPS
Registered Nurse (School)
607 E APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 326-2012
CORINE JOHN-DODGE LSAA
Counselor (Addiction (Substance Use Disorder))
607 E APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 326-2012
VIDA M GUFFEY RN
Registered Nurse
607 E APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 326-2012
HANNAH GABRIELLE HUNT BSN, RN
Registered Nurse (Medical-Surgical)
607 E APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 326-2012
RYAN R JIM
Counselor (Addiction (Substance Use Disorder))
607 E APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 326-2012

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 Mary Moore's NPI number?

The NPI number for Mary Moore is 1457946170. It was assigned to this individual provider in the NPPES registry on March 4, 2021.

Where is Mary Moore located?

Mary Moore practices at 607 E Apache St, Farmington, NM 87401. The listed phone number is (505) 326-2012.

What is Mary Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Moore was last updated on March 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.