What is Havona Moore's NPI number?

Havona Moore's National Provider Identifier (NPI) is 1174475040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Havona Moore's specialty?

Havona Moore is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Havona Moore located?

Havona Moore's practice location on file with NPPES is 3100 Kennard St, Maplewood, MN 55109-5465.

What is Havona Moore's phone number?

The practice phone number listed in the NPPES registry for Havona Moore is (651) 225-5456.

Is Havona Moore's NPI active?

Yes — Havona Moore's NPI (1174475040) is active in the NPPES registry as of the last update on 2026-02-12.

IndividualActive

Havona Moore

NPI 1174475040 · Licensed Practical Nurse · Maplewood, MN

Havona Moore is a Licensed Practical Nurse provider in Maplewood, MN (NPI 1174475040).

Provider details

NPI number: 1174475040
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: L-625029 (MN)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense L-625029 (MN)
Nursing Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3100 Kennard St

Maplewood, MN 55109-5465

Phone: (651) 225-5456

Street-level locationGet directions

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Mailing address