Nicole Shevon Moore, is a
Community Health Worker based in Sacramento, California. Nicole Shevon Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
4433 Florin Rd Ste 600, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 234-2577.
NPI number for Nicole Shevon Moore is 1508557281 and her current mailing address is 3780 Rosin Ct Ste 110, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508557281.
Healthcare Provider's Profile
Full Name | Nicole Shevon Moore |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 4433 Florin Rd Ste 600, Sacramento, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508557281
- Provider Enumeration Date: 05/15/2023
- Last Update Date: 01/08/2024
Medical Identifiers
Medical identifiers for Nicole Shevon Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508557281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Shevon Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Shevon Moore, 3780 Rosin Ct Ste 110, Sacramento, CA 95834-1698 Ph: (916) 441-0226 | Nicole Shevon Moore, 4433 Florin Rd Ste 600, Sacramento, CA 95823-2527 Ph: (916) 234-2577 |
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