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Active NPI 1487352654 Individual Practitioner Male Practitioner

Brody Moore , LPN

Licensed Practical Nurse • Rogers, AR

Professional Overview & Biography Verified Profile Summary

Brody Moore, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Rogers, AR. Practice services are available at 3400 N WOODS LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3400 N Woods Ln

Rogers, AR 727566712

Telephone 4796363190
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Rogers, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Rogers, AR (822 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-17
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License AR L055574

An individual 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
251C00000X (AR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Savannah Palmer , COTA

Occupational Therapy Assistant

NPI 1043932122

Certified Occupational Therapy Assistant

Amanda Gaffney

Physical Therapist

NPI 1053531244
Hillary Duran

Behavior Technician

NPI 1063244374
NPI 1073022018

PHYSICALTHERAPIST

Liza Bowers

Physical Therapist

NPI 1174245955
Annesa Wilkins

Occupational Therapist

NPI 1184844490

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2023

Registered at 3400 N WOODS LN, ROGERS, AR 727566712 (Tel: 4796363190)

📍
Updated Business Mailing Address February 17, 2023

Registered at 3400 N WOODS LN, ROGERS, AR 727566712 (Tel: 4796363190)

👤
Provider Name / Credentials Updated February 17, 2023

Recorded as BRODY MOORE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2023

Licensed Practical Nurse (License #L055574 in AR)

🟢
Initial NPI Registration & Enumeration February 17, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487352654
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2023
Last Update: February 17, 2023
Sole Proprietor: No

Mailing Address

3400 N Woods Ln

Rogers, AR 727566712

Phone: 4796363190

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.