SHANNON DAVID MOORE
NPI 1710734157
Counselor - Addiction (Substance Use Disorder) in Frederick, MD

Active since May 03, 2024
201 BROADWAY ST, FREDERICK, MD 21701(240) 801-7799 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon David Moore NPPES

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

SHANNON DAVID MOORE (NPI 1710734157) is an individual addiction (substance use disorder) provider in Frederick, Maryland and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1710734157
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON DAVID MOORE
Location Address201 BROADWAY STFrederick, MD 21701-6695
Mailing Address16628 Shea LnGaithersburg, MD 20877-1232
Sole ProprietorYes
Enumeration DateMay 3, 2024
NPPES CertifiedMay 3, 2024
NPI 1710734157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
201 BROADWAY ST, Frederick, MD 21701

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
201 BROADWAY ST
FREDERICK, MD 21701

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 Shannon Moore's NPI number?

The NPI number for Shannon Moore is 1710734157. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Shannon Moore located?

Shannon Moore practices at 201 Broadway St, Frederick, MD 21701. The listed phone number is (240) 801-7799.

What is Shannon Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Moore was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.