Raeven D Moore
Community Health Worker in South Hadley, Massachusetts
1386115152- Practice location
- 258 Old Lyman RD, South Hadley, MA 01075-2653
- Phone
- 413-532-3280
- Fax
- —
- Last updated
- December 5, 2018
Raeven Dannielle Moore is a Community Health Worker based in South Hadley, MA. Raeven Dannielle Moore practices in South Hadley, MA. The NPI Number for Raeven Dannielle Moore is 1386115152. The current practice location address for Raeven Dannielle Moore is 258 Old Lyman RD, South Hadley, MA 01075-2653 and can be reached out via phone at 413-532-3280.
Provider Profile Details
- NPI Number
- 1386115152
- Provider Name
- Raeven Dannielle Moore
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 258 Old Lyman RD, South Hadley, MA 01075-2653
- Phone Number
- 413-532-3280
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 5, 2018
- Last Update Date
- December 5, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 258 Old Lyman RD
South Hadley, MA 01075-2653 - City
- South Hadley
- State
- Massachusetts
- Zip
- 01075-2653
- Phone Number
- 413-532-3280
Provider Business Mailing Address Details
- Address
- 258 Old Lyman RD
South Hadley, MA 01075-2653 - City
- South Hadley
- State
- MA
- Zip
- 01075-2653
- Phone Number
- 413-532-3280
License Information
- Taxonomy
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Raeven D Moore?
The NPI number of Raeven D Moore is 1386115152. It was assigned on December 5, 2018 and is currently active in the NPPES registry.
What is the specialty of Raeven D Moore?
Raeven D Moore is registered under the primary taxonomy Community Health Worker (code 172V00000X).
Where does Raeven D Moore practice?
The practice location is 258 Old Lyman RD, South Hadley, MA 01075-2653. The office can be reached at 413-532-3280 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386115152 directly on the NPPES registry website.