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CASANDRA MOORE LPN
NPI 1619246170
Licensed Practical Nurse in Rochester, NY

Active since December 29, 2011
50 DODGE ST, ROCHESTER, NY 14606(585) 576-0610 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Casandra Moore Lpn NPPES

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

CASANDRA MOORE LPN (NPI 1619246170) is an individual licensed practical nurse in Rochester, New York, licensed in New York (305780) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1619246170
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCASANDRA MOORECredential: LPN
Location Address50 DODGE STRochester, NY 14606-1523
Mailing Address640 Flower City ParkRochester, NY 14615-3621 · (585) 491-2803
Phone(585) 576-0610
Sole ProprietorYes
Enumeration DateDecember 29, 2011
Last NPPES UpdateMay 2, 2023
NPPES CertifiedMay 2, 2023
✔ NPI 1619246170 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 NY · 305780
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.
50 DODGE ST, Rochester, NY 14606
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVAN DERRICK ATKINS
Driver
50 DODGE ST
ROCHESTER, NY 14606
Monroe County (585) 576-0068

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 Casandra Moore's NPI number?

The NPI number for Casandra Moore is 1619246170. It was assigned to this individual provider in the NPPES registry on December 29, 2011.

Where is Casandra Moore located?

Casandra Moore practices at 50 Dodge St, Rochester, NY 14606. The listed phone number is (585) 576-0610.

What is Casandra 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 Casandra Moore was last updated on May 2, 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.