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CARISSA LAVERNE MOORE
NPI 1588245013
Technician - Personal Care Attendant in Atoka, OK

Active since April 16, 2021
1680 S GREATHOUSE DRIVE, ATOKA, OK 74525(580) 297-6965(580) 324-4181 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carissa Laverne Moore NPPES

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

CARISSA LAVERNE MOORE (NPI 1588245013) is an individual personal care attendant in Atoka, Oklahoma and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1588245013
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameCARISSA LAVERNE MOORE
Location Address1680 S GREATHOUSE DRIVEAtoka, OK 74525
Mailing Address1680 S Greathouse DriveAtoka, OK 74525 · (580) 297-6965 · Fax (580) 324-4181
Phone(580) 297-6965
Fax(580) 324-4181
Sole ProprietorYes
Enumeration DateApril 16, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1588245013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
1680 S GREATHOUSE DRIVE, Atoka, OK 74525
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Other Identifiers 1

Medicaid100683770AOK

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.

SHERRY HIFE
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Atoka County (580) 889-6611
VANESSA YOTHER
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Atoka County (580) 889-6611
CRYSTAL MEURER
Student in an Organized Health Care Education/Training Program
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Atoka County (580) 889-3553
KASSIE WALLER
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Atoka County (808) 896-6115
JADEN DAWN TRUJILLO
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Atoka County (580) 297-6965
CALLIE KENNISON
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Atoka County (580) 297-6965
AMANDA HARRISON
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Atoka County (580) 889-6611
SUMMER TROWBRIDGE
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Atoka County (580) 889-6611

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 Carissa Moore's NPI number?

The NPI number for Carissa Moore is 1588245013. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Carissa Moore located?

Carissa Moore practices at 1680 S Greathouse Drive, Atoka, OK 74525. The listed phone number is (580) 297-6965.

What is Carissa Moore's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Carissa Moore was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.