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JORDAN BREANNE MOORE
NPI 1679460810
Case Manager/Care Coordinator in Blackfoot, ID

Active since June 20, 2025
495 N SHILLING AVE, BLACKFOOT, ID 83221(435) 744-3535 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Breanne Moore NPPES

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

JORDAN BREANNE MOORE (NPI 1679460810) is an individual case manager/care coordinator provider in Blackfoot, Idaho and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1679460810
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameJORDAN BREANNE MOORE
Location Address495 N SHILLING AVEBlackfoot, ID 83221-2336
Mailing Address591 Turin Way Apt 26101Rexburg, ID 83440-1583 · (760) 881-5773
Phone(435) 744-3535
Sole ProprietorNo
Enumeration DateJune 20, 2025
NPPES CertifiedJune 20, 2025
✔ NPI 1679460810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
495 N SHILLING AVE, Blackfoot, ID 83221
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Other Providers at the Same Location NPPES 7

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

HARRISON JACOB INSKEEP
Case Manager/Care Coordinator
495 N SHILLING AVE
BLACKFOOT, ID 83221
Bingham County (208) 701-9699
NICOLE ANN BEARD
Social Worker
495 N SHILLING AVE
BLACKFOOT, ID 83221
Bingham County (435) 744-3535
BETTER OUTLOOK FAMILY RESOURCE CENTER
Counselor (Mental Health)
495 N SHILLING AVE
BLACKFOOT, ID 83221
Bingham County (208) 782-2050
MRS. LETICIA J REYES LMSW
Social Worker (Clinical)
495 N SHILLING AVE
BLACKFOOT, ID 83221
Bingham County (208) 782-2050
AARON WAYNE BATEMAN
Behavior Technician
495 N SHILLING AVE
BLACKFOOT, ID 83221
Bingham County (435) 744-3535
SNAKE RIVER FAMILY SERVICES
Clinic/Center (Adolescent and Children Mental Health)
495 N SHILLING AVE
BLACKFOOT, ID 83221
Bingham County (435) 744-3535
ROBERT JACKSON HAGUE BI-RBT
Case Manager/Care Coordinator
495 N SHILLING AVE
BLACKFOOT, ID 83221
Bingham County (435) 744-3535

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 Jordan Moore's NPI number?

The NPI number for Jordan Moore is 1679460810. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Where is Jordan Moore located?

Jordan Moore practices at 495 N Shilling Ave, Blackfoot, ID 83221. The listed phone number is (435) 744-3535.

What is Jordan Moore's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jordan Moore was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.