JOHNNIE MOORE LPN NPI 1538539507

Licensed Practical Nurse in Fort Rucker, AL

NPI 1538539507 Individual Female Licensed Practical Nurse

About JOHNNIE MOORE

Johnnie Moore is a provider established in Fort Rucker, Alabama and her medical specialization is licensed practical nurse. The NPI number of Johnnie Moore is 1538539507 and was assigned on October 2015. The practitioner's primary taxonomy code is 164W00000X with license number 2-056675 (AL). The provider is registered as an individual and her NPI record was last updated 6 years ago.

Johnnie Moore is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1538539507

Provider Name JOHNNIE MOORE LPN
Provider Location AddressBLD 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC FORT RUCKER, AL 36362
Provider Mailing AddressBLD 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC FORT RUCKER, AL 36362
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-02-2015
Last Update Date10-02-2015


Primary Taxonomy

Taxonomy Code164W00000X
ClassificationLicensed Practical Nurse
TypeNursing Service Providers
License No.2-056675
License StateAL
Taxonomy DescriptionAn individual 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.

Business Address

JOHNNIE MOORE LPN
BLD 301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7068

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Mailing Address

JOHNNIE MOORE LPN
BLD 301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7068



Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912185711MR. BRIAN LEE PATRICK NREMT-B, COHC
Individual
Technician, OtherBLD 301 ANDREWS AVE USAAMC
FORT RUCKER, AL 36362
(334) 255-7185
1033381975 ROBERT G CARTER PARAMEDIC
Individual
Emergency Medical Technician, ParamedicBLD 301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7032
1801033162MRS. ANTOINETTE LASHAE DINGLE EMT
Individual
TechnicianBLD 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7920
1811943970 B. GORDON CARNES M.D.
Individual
Family MedicineBLD 301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7363
1649604349MR. JASON STEWART HALLER EMT-B
Individual
Emergency Medical Technician, BasicBLD 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT. RUCKER, AL 36362
(334) 255-7636
1972771293MR. MICHAEL DOUGLAS BRADLEY ADVANCED EMT
Individual
Emergency Medical Technician, BasicBLD 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT. RUCKER, AL 36362
(334) 255-7799

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.