CORTNEY L MOORE
NPI 1578039392
Licensed Vocational Nurse in Fairfield, CA

Q: What is Cortney Moore's NPI number?

The NPI number for Cortney Moore is 1578039392. It was assigned to this individual provider in the NPPES registry on October 18, 2018.

Q: What is Cortney Moore's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Cortney Moore was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 18, 2018

2101 COURAGE DR, FAIRFIELD, CA 94533(707) 428-1131 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cortney L Moore NPPES

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

CORTNEY L MOORE (NPI 1578039392) is an individual licensed vocational nurse in Fairfield, California, licensed in California (VN699435) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1578039392

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameCORTNEY L MOORE

Location Address2101 COURAGE DRFairfield, CA 94533-6717

Mailing Address2101 Courage DrFairfield, CA 94533-6717

Phone(707) 428-1131

Sole ProprietorYes

Enumeration DateOctober 18, 2018

✔ NPI 1578039392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · VN699435

Definition

A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

2101 COURAGE DR, Fairfield, CA 94533

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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.

MS. JENNIFER RUTH PETTIBONE RN

Registered Nurse (Psychiatric/Mental Health)

2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533

Solano County (707) 784-2154

MALISSA BLAIR RN

Registered Nurse