CATHY SHABAZ MOORE (PA-C) – Physician Assistant, NPI 1477641017

CATHY SHABAZ MOORE (PA-C) is a healthcare provider. based in Bloomington, Minnesota. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 9909 (MN). The NPI Number for CATHY SHABAZ MOORE (PA-C) is 1477641017

Main info

Female
Name
CATHY SHABAZ MOORE (PA-C)
NPI
1477641017
Phone
(952) 234-5898
Address
9220 JAMES AVE S STE 1
Enumeration Date
10 October 2006
Last Update Date
2 September 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for CATHY SHABAZ MOORE (PA-C)

  • 9220 JAMES AVE S STE 1

    BLOOMINGTON, MN 554314504

    Phone: (952) 234-5898

    Type: Location

  • 7993 172ND ST W

    LAKEVILLE, MN 550449132

    Phone: (763) 301-2032

    Type: Mailing

  • 6180, Mae Anne Avenue, Quail North West, Reno, Washoe County, Nevada, 89523, United States

    SUITE 1

    RENO, NV 895234700

    Phone: (775) 354-3820

    Type: Location

  • 1708, Lakeland Hills Drive, Reno, Washoe County, Nevada, 89523, United States

    RENO, NV 895231267

    Phone: (775) 313-0207

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55431)

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Reviews

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Frequently asked questions

Where can patients find CATHY SHABAZ MOORE (PA-C)'s NPI?
You can confirm CATHY SHABAZ MOORE (PA-C) with NPI 1477641017; it appears in the national provider directory.
Is CATHY SHABAZ MOORE (PA-C) currently active in the NPI registry?
CMS-published data lists CATHY SHABAZ MOORE (PA-C) as an active registrant.
Can you summarize CATHY SHABAZ MOORE (PA-C)'s specialty in plain language?
Clinically, the directory lists CATHY SHABAZ MOORE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for CATHY SHABAZ MOORE (PA-C)?
We surface Bloomington, Minnesota for CATHY SHABAZ MOORE (PA-C) based on available NPPES addresses.
What if Bloomington, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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