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Taneisha Moore

NPI 1952032633ActiveIndividual· Technician, Other· Evergreen Park, IL

Technician, Other in Evergreen Park, Illinois, with an NPI issued in June 2022.

Overview

NPI1952032633
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 22, 2022
Last updated in NPPESJun 23, 2022
Certified by providerJun 23, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Technician, Other Primary247200000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years