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BRODY MOORE LPN
NPI 1487352654
Licensed Practical Nurse in Rogers, AR

Active since February 17, 2023
3400 N WOODS LN, ROGERS, AR 72756(479) 636-3190 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Brody Moore Lpn NPPES

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

BRODY MOORE LPN (NPI 1487352654) is an individual licensed practical nurse in Rogers, Arkansas, licensed in Arkansas (L055574) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1487352654
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameBRODY MOORECredential: LPN
Location Address3400 N WOODS LNRogers, AR 72756-6712
Mailing Address3400 N Woods LnRogers, AR 72756-6712 · (479) 636-3190
Phone(479) 636-3190
Sole ProprietorNo
Enumeration DateFebruary 17, 2023
NPPES CertifiedFebruary 17, 2023
✔ NPI 1487352654 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 AR · L055574
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.
3400 N WOODS LN, Rogers, AR 72756
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Other Identifiers 1

Medicaid251C00000XAR

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.

SAVANNAH PALMER COTA
Occupational Therapy Assistant
3400 N WOODS LN
ROGERS, AR 72756
Benton County (479) 636-3190
LAUREN ALLISON GONZALES
Behavior Technician
3400 N WOODS LN
ROGERS, AR 72756
Benton County (479) 636-3910
HILLARY DURAN
Behavior Technician
3400 N WOODS LN
ROGERS, AR 72756
Benton County (479) 636-3190
YESENIA RAMIREZ
Behavior Technician
3400 N WOODS LN
ROGERS, AR 72756
Benton County (479) 639-3190
MS. ABRIL FLORES
Behavior Technician
3400 N WOODS LN
ROGERS, AR 72756
Benton County (479) 636-4190
LIZA BOWERS
Physical Therapist
3400 N WOODS LN
ROGERS, AR 72756
Benton County (479) 636-3190
MORGAN BRUMBELOW OTR/L
Occupational Therapist
3400 N WOODS LN
ROGERS, AR 72756
Benton County (479) 636-3190
MADELINE KATE SLATTON
Behavior Technician
3400 N WOODS LN
LITTLE FLOCK, AR 72756
Benton County (479) 636-3190

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 Brody Moore's NPI number?

The NPI number for Brody Moore is 1487352654. It was assigned to this individual provider in the NPPES registry on February 17, 2023.

Where is Brody Moore located?

Brody Moore practices at 3400 N Woods Ln, Rogers, AR 72756. The listed phone number is (479) 636-3190.

What is Brody 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 Brody Moore was last updated on February 17, 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.