Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jacqueline P. Moore, M.D.

Pediatrics Physician in Southfield, MI · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679620488

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Registry record

Entity type Individual (Type 1)

Name Jacqueline P. Moore

Credential M.D.

Sex Female

Practice address Henry Ford Health System, 22777 W. Eleven Mile Rd, Southfield, MI, 48034

Phone (248) 358-0722

Fax (248) 358-8658

Enumeration date Jan 4, 2007

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 4301038170 (MI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
JM038170	Other	-	COMMERCIAL-COMMERCIAL NUMBER
JM038170	Other	-	CHAMPUS-CHAMPUS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Jacqueline Moore?

Jacqueline Moore is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Terry Gordon Internal Medicine Physician · Southfield, MI NPI 1053458653

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.