CATHY SHABAZ MOORE PA-C
NPI 1477641017
Physician Assistant in Bloomington, MN

Active since October 10, 2006
9220 JAMES AVE S STE 1, BLOOMINGTON, MN 55431(952) 234-5898 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cathy Shabaz Moore Pa-c NPPES

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

CATHY SHABAZ MOORE PA-C (NPI 1477641017) is an individual physician assistant in Bloomington, Minnesota, licensed in Minnesota (9909) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1477641017
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCATHY SHABAZ MOORECredential: PA-C
Location Address9220 JAMES AVE S STE 1Bloomington, MN 55431-4504
Mailing Address7993 172nd St WLakeville, MN 55044-9132 · (763) 301-2032
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateSeptember 2, 2022
NPPES CertifiedAugust 31, 2022
NPI 1477641017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 9909
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9220 JAMES AVE S STE 1, Bloomington, MN 55431

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 Cathy Moore's NPI number?

The NPI number for Cathy Moore is 1477641017. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Cathy Moore located?

Cathy Moore practices at 9220 James Ave S Ste 1, Bloomington, MN 55431. The listed phone number is (952) 234-5898.

What is Cathy Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Cathy Moore was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.