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Active NPI 1740920172 Individual Practitioner Female Practitioner

Nina Marie Moore , LPN

Licensed Practical Nurse • Palm Coast, FL

Professional Overview & Biography Verified Profile Summary

Nina Moore, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Palm Coast, FL. Practice services are available at 65 EASTWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

65 Eastwood Dr

Palm Coast, FL 321646160

Telephone 3172948164

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Palm Coast, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Palm Coast, FL (1995 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: 2022-04-01
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN5238743

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.

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active April 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2022

Registered at 65 EASTWOOD DR, PALM COAST, FL 321646160 (Tel: 3172948164)

📍
Updated Business Mailing Address April 01, 2022

Registered at 65 EASTWOOD DR, PALM COAST, FL 321646160 (Tel: 3172948164)

👤
Provider Name / Credentials Updated April 01, 2022

Recorded as NINA MOORE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2022

Licensed Practical Nurse (License #PN5238743 in FL)

🟢
Initial NPI Registration & Enumeration April 01, 2022

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: 1740920172
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2022
Last Update: April 01, 2022
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

65 Eastwood Dr

Palm Coast, FL 321646160

Phone: 3172948164

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.