MS. CHARNEDRA JASMINE MOORE CPO NPI 1518871144

NPI Information

  • NPI: 1518871144
  • Provider Name: MS. CHARNEDRA JASMINE MOORE, CPO
  • Classification: Prosthetist - 224P00000X
  • Entity Type: Individual
  • Address: 820 S DAMEN AVE
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 569-7113

Map and Directions

Get Directions

NPI Details

MS. Charnedra Jasmine Moore, CPO is a prosthetist in Chicago, IL. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. MS. Charnedra Jasmine Moore, CPO NPI is 1518871144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

820 S DAMEN AVE
CHICAGO, IL
ZIP 60612-728
Phone: (312) 569-7113

The enumeration date for this NPI number is 9/30/2026 and was last updated on 9/30/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1222Z00000XOrthotistCPO03465ILLINOISNo
2224P00000XProsthetistCPO03465ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.