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Lavon Rena Moore , NURSE

Licensed Practical Nurse β€’ San Antonio, TX

Active NPI 1154639805 Individual Practitioner Female Practitioner
Practice location in NPPES

7400 Merton Minter St
San Antonio, TX 782294404

Call 2106175300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7400 Merton Minter St

San Antonio, TX 782294404

Telephone 2106175300
Organization at the Same NPPES Address or Phone
San Antonio Vamc Facility NPI 1922058569

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in San Antonio and Texas

83 active clinicians are listed under Licensed Practical Nurse with a practice address in San Antonio, TX (713 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Antonio

0% of these 83 clinicians have the CMS telehealth indicator.

0% of these 83 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-25
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH PN-121466

An individual 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Elizabeth Hallman , ACNP-BC

Nurse Practitioner - Acute Care

NPI 1003224528

ACNPBC

Dr. John Jordan , MD, MPH

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1003052002

Doctor of Medicine (M.D.), Master of Public Health

Dr. Ghazwan Sharabi , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003825332

Doctor of Medicine (M.D.)

Dr. Megan Walker , MD

Family Medicine

NPI 1023308863

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 25, 2026

Registered at 7400 MERTON MINTER ST, SAN ANTONIO, TX 782294404 (Tel: 2106175300)

πŸ“
Updated Business Mailing Address February 25, 2026

Registered at 5455 ROWLEY RD UNIT 5103, SAN ANTONIO, TX 782404825 (Tel: 2168167754)

βœ…
NPI Profile Active September 15, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 15, 2010

Registered at 19081 WATERCREST AVENUE, MAPLE HEIGHTS, OH 44137 (Tel: 2166626045)

πŸ“
Business Mailing Address (Initial Record) September 15, 2010

Registered at 19081 WATERCREST AVE, MAPLE HEIGHTS, OH 441373150 (Tel: 2168166045)

πŸ‘€
Provider Name / Credentials (Initial Record) September 15, 2010

Recorded as LAVON MOORE, NURSE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2010

Licensed Practical Nurse (license number reported to NPPES: OH PN-121466)

🟒
Initial NPI Registration & Enumeration September 15, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154639805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2010
Last Update: February 25, 2026
Sole Proprietor: Yes

Other Licensed Practical Nurses in San Antonio

Healthcare providers in San Antonio

Mailing Address

5455 Rowley Rd Unit 5103

San Antonio, TX 782404825

Phone: 2168167754

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.