SARA MOORE NPI 1689975864

NPI Information

NPI: 1689975864
Provider Name: SARA MOORE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1400 EMELINE AVE
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 454-4170
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Sara Moore is a mental health counselor in Santa Cruz, CA. Sara Moore NPI is 1689975864. 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:

1400 EMELINE AVE
SANTA CRUZ, CA
ZIP 95060-976
Phone: (831) 454-4170
Fax: (831) 454-4663

The enumeration date for this NPI number is 11/4/2010 and was last updated on 11/4/2010.

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
1	101YM0800X	Counselor	Mental Health		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ91892Z	OTHER	CALIFORNIA	SANTA CRUZ COUNTY MEDICARE GROUP PROVIDER #
2	ZZZ92069Z	OTHER	CALIFORNIA	SANTA CRUZ COUNTY MEDICARE GROUP PROVIDER #

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: 4/28/2024

NPI Synchronization or Removal

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