MR. RODNEY WAYNE MOORE RN BSN CPAN CAPA NPI 1548593536

NPI Information

  • NPI: 1548593536
  • Provider Name: MR. RODNEY WAYNE MOORE, RN BSN CPAN CAPA
  • Classification: Registered Nurse - 163WP2201X
  • Specialization: Ambulatory Care
  • Entity Type: Individual
  • Address: 1078 FONTAINE PL
    SAINT LOUIS, MO
    ZIP 63137
  • Phone: (404) 918-0461

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NPI Details

MR. Rodney Wayne Moore, RN BSN CPAN CAPA is an ambulatory care registered nurse in Saint Louis, MO. MR. Rodney Wayne Moore, RN BSN CPAN CAPA NPI is 1548593536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1078 FONTAINE PL
SAINT LOUIS, MO
ZIP 63137-705
Phone: (404) 918-0461
Fax: (314) 868-6605

The enumeration date for this NPI number is 9/9/2009 and was last updated on 9/9/2009.

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
1163WP2201XRegistered NurseAmbulatory CareRN084407GEORGIANo
2163WP2201XRegistered NurseAmbulatory CareRN9272235FLORIDANo
3163WP2201XRegistered NurseAmbulatory Care082489MISSOURIYes

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

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