SHULETTA MOORE – NPI #1912682675
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

SHULETTA MOORE is a peer specialist located in WASHINGTON, DC. NPPES has assigned the NPI number 1912682675 to SHULETTA MOORE on June 20, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for SHULETTA MOORE below.

NPI Profile for
SHULETTA MOORE

NPI Number
1912682675
Enumeration Date

(about 3 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SHULETTA MOORE
Primary location
2523 14TH ST NW
WASHINGTON, DC 20009-7909
Phone: (202) 667-8831 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.