MARDIE MOORE
NPI 1487317640
Community Health Worker in Oakland, CA

Active since October 14, 2021
930 66TH AVE APT 208, OAKLAND, CA 94621(510) 828-3737 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2023, May 5, 2023, Sep 12, 2022 and 1 more (4 updates tracked since 2021).

About Mardie Moore NPPES

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

MARDIE MOORE (NPI 1487317640) is an individual community health worker in Oakland, California and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1487317640
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameMARDIE MOORE
Location Address930 66TH AVE APT 208Oakland, CA 94621-3183
Mailing Address1266 14th StOakland, CA 94607-2247 · (510) 295-8205
Sole ProprietorNo
Enumeration DateOctober 14, 2021
Last NPPES UpdateMay 15, 20234 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
NPI 1487317640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 101YMO800X (CA)
930 66TH AVE APT 208, Oakland, CA 94621

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 Mardie Moore's NPI number?

The NPI number for Mardie Moore is 1487317640. It was assigned to this individual provider in the NPPES registry on October 14, 2021.

Where is Mardie Moore located?

Mardie Moore practices at 930 66th Ave Apt 208, Oakland, CA 94621. The listed phone number is (510) 828-3737.

What is Mardie Moore's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Mardie Moore was last updated on May 15, 2023. 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.