CADEATRIZLIUS SHAWNQUITIA MOORE CRNP
NPI 1639715006
Nurse Practitioner - Family in Athens, AL

Active since November 20, 2019
22136 MEDICAL VILLAGE DR, ATHENS, AL 35613(256) 648-5598 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2024, Nov 20, 2019 (2 updates tracked since 2019).

About Cadeatrizlius Shawnquitia Moore Crnp NPPES

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

CADEATRIZLIUS SHAWNQUITIA MOORE CRNP (NPI 1639715006) is an individual family provider in Athens, Alabama, licensed in Alabama (1-126814) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1639715006
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCADEATRIZLIUS SHAWNQUITIA MOORECredential: CRNP
Location Address22136 MEDICAL VILLAGE DRAthens, AL 35613-2940
Mailing Address22136 Medical Village DrAthens, AL 35613-2940 · (256) 648-5598
Sole ProprietorNo
Enumeration DateNovember 20, 2019
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1639715006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-126814
22136 MEDICAL VILLAGE DR, Athens, AL 35613

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Pediatrics
22136 MEDICAL VILLAGE DR
ATHENS, AL 35613
Nurse Practitioner (Pediatrics)
22136 MEDICAL VILLAGE DR
ATHENS, AL 35613
Nurse Practitioner (Family)
22136 MEDICAL VILLAGE DR
ATHENS, AL 35613

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 Cadeatrizlius Moore's NPI number?

The NPI number for Cadeatrizlius Moore is 1639715006. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Cadeatrizlius Moore located?

Cadeatrizlius Moore practices at 22136 Medical Village Dr, Athens, AL 35613. The listed phone number is (256) 648-5598.

What is Cadeatrizlius Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Cadeatrizlius Moore accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Cadeatrizlius Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cadeatrizlius Moore was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.