Mindy Moore, NURSE'S AIDE

Nurse's Aide · Robinson, IL

Individual Active NPI

NPI number 1124819529

Practice location

800 Southwind Blvd Lot 40
Robinson, IL 62454-3641
Phone
(606) 541-2976

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NPI record

NPI
1124819529
Entity type
Individual (Type 1)
Enumeration date
May 14, 2025
Last updated
May 14, 2025
Certified
May 14, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse's Aide Primary 376K00000X 1106100 IL

About Mindy Moore

Mindy Moore, NURSE'S AIDE is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse's Aide (code 376K00000X). The practice location is 800 Southwind Blvd Lot 40, Robinson, IL 62454-3641. The NPI number 1124819529 was assigned on May 14, 2025 and the record was last updated on May 14, 2025.

Mindy Moore lists a license in the registry: #1106100 (IL) for Nurse's Aide. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mindy Moore, NURSE'S AIDE?

The NPI number is 1124819529.

What is the phone number of Mindy Moore?

The phone number listed for the practice location is (606) 541-2976.

Where is Mindy Moore located?

800 Southwind Blvd Lot 40, Robinson, IL 62454-3641.

What is the taxonomy code for Mindy Moore?

The primary taxonomy code is 376K00000X – Nurse's Aide.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.