NPI

Stephanie Moore

NPI 1912543497

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MA, CADC, CTP
Type
Individual
Enumeration date
2019-11-20
Last updated
2022-02-02

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Specialties

Licenses

License IA
19016

Location

Practice location
1646 305th St
City
Tama IA
Postal code
52339-9698
Phone
(641) 484-9482

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Tama, IA. 33 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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