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JORDAN MOORE
NPI 1467248310
Student in an Organized Health Care Education/Training Program in Newark, OH

Active since April 17, 2025

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Moore NPPES

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

JORDAN MOORE (NPI 1467248310) is an individual student in an organized health care education/training program in Newark, Ohio and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1467248310
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN MOORE
Location Address59 GRANT STNewark, OH 43055-3939
Mailing Address1801 Watermark DrColumbus, OH 43215-7088
Phone(740) 349-7511
Sole ProprietorYes
Enumeration DateApril 17, 2025
Last NPPES UpdateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1467248310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
59 GRANT ST, Newark, OH 43055
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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.

MAKAYLA K MARTZ M.ED, LPC
Counselor (Mental Health)
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
JESSICA GARCIA
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
MATTHEW HAYDEN
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
RACHAEL DUNCAN
Social Worker
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
SAMUEL ROBERTSON
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
ALLESSIA DUGAN
Community Health Worker
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
MISTY RAGER
Case Manager/Care Coordinator
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511
NICKOLAS MARTZ M.ED, LPC
Counselor (Mental Health)
59 GRANT ST
NEWARK, OH 43055
Licking County (740) 349-7511

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 Jordan Moore's NPI number?

The NPI number for Jordan Moore is 1467248310. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Jordan Moore located?

Jordan Moore practices at 59 Grant St, Newark, OH 43055. The listed phone number is (740) 349-7511.

What is Jordan Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Jordan Moore was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.