Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689353427 Individual Practitioner Male Practitioner

Shane M Moore , MPSS-DSNBAR

Peer Specialist • Auburn, CA

Professional Overview & Biography Verified Profile Summary

Shane Moore, MPSS-DSNBAR is a registered healthcare professional specializing in Peer Specialist in Auburn, CA. Practice services are available at 12183 LOCKSLEY LN STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12183 Locksley Ln Ste 101

Auburn, CA 956022050

Telephone 5308851961
Associated Practice Facility / Clinic
🏢 Eagle Recovery Programs Facility NPI 1255544953

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Auburn, CA

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

Practicing in Auburn, CA (4567 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: 2024-08-09
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA MPSS-DANBAR

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Practice Associates & Co-Workers

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

35 Associated Practitioners
Sarah Phillips

Counselor - Addiction (Substance Use Disorder)

NPI 1073327359
Scott Flores , RAS, CDVC, CDC

Counselor - Addiction (Substance Use Disorder)

NPI 1073799284
Teresa Fleschute , RADT

Counselor - Addiction (Substance Use Disorder)

NPI 1114536711
Kim Egan

Counselor - Addiction (Substance Use Disorder)

NPI 1134544133
Thomas Mays , NRDT

Counselor - Addiction (Substance Use Disorder)

NPI 1144793100
Laura Lagge , CADCII

Counselor - Addiction (Substance Use Disorder)

NPI 1184008534

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 09, 2024

Registered at 12183 LOCKSLEY LN STE 101, AUBURN, CA 956022050 (Tel: 5308851961)

📍
Updated Business Mailing Address August 09, 2024

Registered at 12183 LOCKSLEY LN STE 101, AUBURN, CA 956022050 (Tel: 5308851961)

👤
Provider Name / Credentials Updated August 09, 2024

Recorded as SHANE MOORE, MPSS-DSNBAR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2023

Community Health Worker

NPI Profile Active July 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2023

Registered at 3737 MARCONI AVE, SACRAMENTO, CA 958215303 (Tel: 9168821485)

📍
Updated Business Mailing Address July 17, 2023

Registered at 650 HOWE AVE STE 400A, SACRAMENTO, CA 958254731 (Tel: 9164410123)

👤
Provider Name / Credentials Updated July 17, 2023

Recorded as SHANE MOORE

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

Peer Specialist

🟢
Initial NPI Registration & Enumeration July 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: 1689353427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2023
Last Update: August 09, 2024
Sole Proprietor: Yes

Mailing Address

12183 Locksley Ln Ste 101

Auburn, CA 956022050

Phone: 5308851961

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.