IndividualActive
Mickalla Moore, LVN
NPI 1346042512 · Licensed Vocational Nurse · Anderson, CA
Provider details
- NPI number
- 1346042512
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- License
- 740224 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
1901 Barney Rd
Anderson, CA 96007-4301
Phone: (530) 410-2290
Street-level locationGet directions
Mailing address
1640 Victor Ave Apt 50
Redding, CA 96003-4050
Registry dates
- Enumerated
- 2025-03-26
- Last updated
- 2025-03-26
- Certified
- 2025-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.