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SHAVONNE J MOORE
NPI 1578814406
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since October 02, 2012
85 E NEWTON ST, SUITE 912, BOSTON, MA 02118(617) 414-4646(617) 414-4792 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shavonne J Moore NPPES

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

SHAVONNE J MOORE (NPI 1578814406) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1578814406
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHAVONNE J MOORE
Location Address85 E NEWTON ST, SUITE 912Boston, MA 02118-2340
Mailing Address85 E Newton St, Suite 905Boston, MA 02118-2340 · (617) 414-8313 · Fax (617) 414-4770
Phone(617) 414-4646
Fax(617) 414-4792
Sole ProprietorNo
Enumeration DateOctober 2, 2012
✔ NPI 1578814406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
85 E NEWTON ST, Boston, MA 02118
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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.

VICTORIA COOPER NP
Nurse Practitioner (Family)
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 636-1752
ABIGAIL SMITH LICSW
Social Worker
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 626-8916
SOPHIA CHIN LICSW
Social Worker
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 626-8791
LINDSEY WILDER MED
Counselor (Mental Health)
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 638-8013
JOHN GRAHAM
Student in an Organized Health Care Education/Training Program
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 626-8943
MARIANNE WARWICK
Student in an Organized Health Care Education/Training Program
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 414-8336
TEMPLE WORRELL M.A.
Counselor (Mental Health)
85 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 414-8336
DACIA SHILLINGFORD-COMPAS
Social Worker
85 E NEWTON ST, BEST
BOSTON, MA 02118
Suffolk County (617) 414-2041

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 Shavonne Moore's NPI number?

The NPI number for Shavonne Moore is 1578814406. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Where is Shavonne Moore located?

Shavonne Moore practices at 85 E Newton St Suite 912, Boston, MA 02118. The listed phone number is (617) 414-4646.

What is Shavonne Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shavonne Moore was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.