MELODIE CARLENE MOORE LPN
NPI 1932875317
Licensed Practical Nurse in Rensselaer, NY

Q: What is Melodie Moore's NPI number?

The NPI number for Melodie Moore is 1932875317. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Q: What is Melodie Moore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Melodie Moore was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 17, 2021

87 WASHINGTON ST, RENSSELAER, NY 12144(518) 449-1142 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Melodie Carlene Moore Lpn NPPES

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

MELODIE CARLENE MOORE LPN (NPI 1932875317) is an individual licensed practical nurse in Rensselaer, New York, licensed in New York (306875) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1932875317

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMELODIE CARLENE MOORECredential: LPN

Location Address87 WASHINGTON STRensselaer, NY 12144-2613

Mailing AddressPo Box 148Rensselaer, NY 12144-0148

Phone(518) 449-1142

Sole ProprietorNo

Enumeration DateAugust 17, 2021

NPPES CertifiedAugust 17, 2021

✔ NPI 1932875317 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 · 306875

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.

87 WASHINGTON ST, Rensselaer, NY 12144

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Other Providers at the Same Location NPPES 20

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

CHERYL PARKES

Registered Nurse