Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shane M Moore, MPSS-DSNBAR

Individual provider Community Health Worker · NPI 1689353427

Mr. Shane M Moore, MPSS-DSNBAR is a Community Health Worker in Auburn, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12183 Locksley Ln Ste 101
Auburn, CA 95602-2050
Phone: (530) 885-1961
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-DANBAR (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1689353427
Entity typeIndividual (Type 1)
GenderMale
Credentials MPSS-DSNBAR
Sole proprietorYes
NPI enumeratedJuly 17, 2023
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Other providers in Auburn