MARISA MOORE LVN
NPI 1225920622
Licensed Vocational Nurse in Sacramento, CA
NPI Status: Active since July 18, 2025
Contact Information
310 HARRIS AVE STE A
SACRAMENTO, CA
ZIP 95838
Phone: (916) 659-6680
This NPI profile has been added to the NPI registry within the last 30 days.
- Individual
- Female
- Licensed Vocational Nurse
About MARISA MOORE
This page provides the complete NPI Profile along with additional information for Marisa Moore, a provider established in Sacramento, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1225920622 assigned on July 2025. The practitioner's primary taxonomy code is 164X00000X with license number 752074 (CA). The provider is registered as an individual and her NPI record was last updated July 2025.
- NPI
- 1225920622
- Provider Name
- MARISA MOORE LVN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 310 HARRIS AVE STE A SACRAMENTO, CA 95838
- Location Phone
- (916) 659-6680
- Mailing Address
- 310 HARRIS AVE STE A SACRAMENTO, CA 95838
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-18-2025
- Last Update Date
- 07-18-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Vocational Nurse
- Taxonomy Code
- 164X00000X
- Type
- Nursing Service Providers
- License No.
- 752074
- License State
- CA
- Taxonomy Description
- A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 9 | 2 | 0 | 6 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 18 | 2 | 0 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 1 + 8 + 2 + 0 + 6 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1225920622 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164729661 | ELROY BENTON WILBOURN Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1699094268 | MELISSA S DEVELEY Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1962841379 | MS. DAVEEN LARAY FERGUSON CAS 1 Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1598893463 | TERESA PRECIADO Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1699177089 | JASON HARRELL Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1346643582 | AZZIE THOMAS JR. Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1205230943 | LAINA WADOWSKI CAS II Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1902292600 | KIMBERLEE ZAFRANOVICH RADT I Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1790142388 | DONETTA JEFFERSON Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1144352725 | MRS. RAMONA MARIA RYNER Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1003260142 | JENNIFER LYNN TERRERI Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1568602951 | MR. FRANK MITCHELL BALE I CADA-LL, ICADC Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1710301163 | DAVID RAMON Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1972744951 | MR. THESSALON STORY SR. CERTIFIED COUNSELOR Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1538604186 | MICHAEL SHALDONE Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1568949527 | ANTONIA FRANCISCA DAWA CADC I Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1104309392 | WHITNEY RHOE Individual | Counselor (Addiction (Substance Use Disorder)) | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1952876559 | KHAO KHOR VUE Individual | Licensed Vocational Nurse | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1205301801 | REBECCA SUE LARRICK LVN Individual | Licensed Vocational Nurse | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
| 1659846251 | BALPREET KAUR GREWAL LVN Individual | Licensed Vocational Nurse | 310 HARRIS AVE STE A SACRAMENTO, CA 95838 (916) 649-6793 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225920622, enumerated in the NPI registry as an "individual" on July 18, 2025
The provider is located at 310 Harris Ave Ste A Sacramento, Ca 95838 and the phone number is (916) 659-6680
The provider's speciality is Licensed Vocational Nurse with taxonomy code 164X00000X
This NPI record was last updated on July 18, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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