MYA MOORE
NPI 1689405896
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since August 09, 2024
2301 S 3RD ST, LOUISVILLE, KY 40208(502) 852-5555 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mya Moore NPPES

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

MYA MOORE (NPI 1689405896) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since August 2024. She maintains a secondary practice location in Hercules.

NPPES Registry Identity

NPI1689405896
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMYA MOORE
Location Address2301 S 3RD STLouisville, KY 40208-1838
Mailing Address227 Sunset DrHercules, CA 94547-2012
Sole ProprietorNo
Enumeration DateAugust 9, 2024
NPPES CertifiedJuly 24, 2024
NPI 1689405896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2301 S 3RD ST, Louisville, KY 40208

Secondary Practice Location 1

Location 1227 Sunset DrHercules, CA 94547-2012 · Phone (510) 778-0127

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
2301 S 3RD ST
LOUISVILLE, KY 40208

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 Mya Moore's NPI number?

The NPI number for Mya Moore is 1689405896. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Mya Moore located?

Mya Moore practices at 2301 S 3rd St, Louisville, KY 40208. The listed phone number is (502) 852-5555.

What is Mya 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 Mya Moore was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.