MEDICARE: LEIGH NICOLE MOORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist		OK
2	101YA0400X	Addiction (Substance Use Disorder) Counselor		OK

General Provider Information

NPI Number	:	1316512114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIGH NICOLE MOORE

Provider Business Mailing Address
First Line	:	6624 SANDLEWOOD DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-3964
Country	:	US
Telephone Number	:	405-534-8223
Fax Number	:

Provider Business Practice Location Address
First Line	:	6624 SANDLEWOOD DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-3964
Country	:	US
Telephone Number	:	405-534-8223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2021
Last Update Date	:	05/06/2026

Similar Medicare Providers

1962428961 — KATHRYN GLADDEN BARNDS ARNP, CNM
Practice Location Address:

721 N 31ST ST
KANSAS CITY, KS
66102-3964

Practice Phone: 913-281-6457
Practice Fax:

1659426005 — SAGE FEMME BIRTH CENTER OF KANSAS CITY, INC.
Practice Location Address:

721 N 31ST ST
KANSAS CITY, KS
66102-3964

Practice Phone: 913-281-6457
Practice Fax: 913-281-6474

1912269069 — ALEXANDER KIEU M.D.
Practice Location Address:

721 N 31ST ST
KANSAS CITY, KS
66102-3964

Practice Phone: 913-621-0074
Practice Fax: 913-621-1996

1205182946 — ALLEGRA HILL LM CPM
Practice Location Address:

3964 VAN BUREN PL
CULVER CITY, CA
90232-2826

Practice Phone: 323-313-2388
Practice Fax:

1518398684 — SYBA BIRTH LLC
Practice Location Address:

721 N 31ST ST
KANSAS CITY, KS
66102-3964

Practice Phone: 913-620-1505
Practice Fax: 913-884-1970

1265809057 — INCREDIBLE BIRTH LLC
Practice Location Address:

721 N 31ST ST , #100
KANSAS CITY, KS
66102-3964

Practice Phone: 913-802-2325
Practice Fax:

Directions to “ LEIGH NICOLE MOORE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.