MS. DONNA A MOORE (NPI# 1003090150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003090150 |
| Entity Type | Individual |
| Full Name | MS. DONNA A MOORE |
| Credential | RN BSN ANP MS |
| Practice Address |
900 Franklin Ave Valley Stream NY 11580-2145 |
| Mailing Address |
599 Madison Park Dr Grayson GA 30017-7940 |
| Practice Telephone | 5164932203 |
| Mailing Telephone | 5164932203 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 5796691 | NY | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN241256 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 599 Madison Park Dr, Grayson, GA 300177940 | 5164932203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346769635 | Donna Moore | Driver | 477 Chestnut Mountain Rd, Lynchburg, VA 24504-5209 | 2017-09-18 |
| 1295071132 | Donna Lynn Moore | Social Worker | 9409 W Pickwick Cir, Taylor, MI 48180-3860 | 2012-12-21 |
| 1982955506 | Donna Lynn Moore | Specialist | 1985 Bayview Ln, Aurora, IL 60506-1269 | 2012-09-21 |
| 1184916249 | Donna A Moore | Counselor | 188 40a 71st Crescent, 3c, Fresh Meadows, NY 11365-3723 | 2011-05-09 |
| 1619279858 | Donna Ealise' Moore | Rehabilitation Practitioner | 7485 Falcon Rock Dr, Las Vegas, NV 89123-1472 | 2010-11-20 |
| 1205075975 | Donna V Moore | Registered Nurse | 8989 Mid Lake Rd, Woodruff, WI 54568-9610 | 2009-02-19 |
| 1528198793 | Donna M Moore | Licensed Practical Nurse | 459 Mill St, Conneaut, OH 44030-2454 | 2007-03-06 |
| 1518027465 | Donna Rae Moore | Social Worker | 4850 California Ave Sw Suite 101, Westside Counseling Center, Seattle, WA 98116 | 2006-12-11 |
| 1447340518 | Donna Lynn Moore | Psychologist | 1600 Westgate Circle Ste 295, Centerstone Assoc, Brentwood, TN 37027 | 2006-10-13 |
| 1801997085 | Donna Kimberly Moore | Occupational Therapist | 504 Leaf Ln, Somerset, KY 42503-4662 | 2006-09-26 |
| Street Address |
900 FRANKLIN AVE |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639591 | Jerald Darvishzadeh | Anesthesiology | 900 Franklin Ave, Anesthesia Department, Valley Stream, NY 11580-2145 | 2005-06-15 |
| 1205442100 | Madeleine Ann Reyes | Surgery | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-09-17 |
| 1376153700 | Mei L Lu | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-07-31 |
| 1508484858 | Virghinya Ridwan | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-07-13 |
| 1588298806 | Melissa Lopez | Nurse Practitioner | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-02-25 |
| 1659918316 | Nassau Spine Intraop Monitoring Medical | Specialist/Technologist, Other | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-12-02 |
| 1841841145 | Hannah Elizabeth Mathew | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-27 |
| 1972154565 | Karim Mohamed | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-25 |
| 1992354427 | Jessy Mathew | Nurse Practitioner | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-07 |
| 1073162913 | Nicholas Crozier | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760612 | Sumra Abbasi | Nurse Practitioner | 6 S Georgia St, Valley Stream, NY 11580-2309 | 2020-02-04 |
| 1710109160 | Marilyn Lopez | Nurse Practitioner | 46 Todd Rd, Valley Stream, NY 11580-4018 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013415 | Carl Mark Cacciotti | Nurse Practitioner | 81 Sweetmilk Creek Rd, Troy, NY 12180-9100 | 2020-11-03 |
| 1356942957 | Violeta Izrailov | Nurse Practitioner | 7529 187th St, Fresh Meadows, NY 11366-1725 | 2020-11-02 |
| 1063028041 | Alanna Baldassarre | Nurse Practitioner | 1 Daywood Ct, East Northport, NY 11731-3446 | 2020-09-16 |
| 1316553399 | Jacqueline Abbatiello | Nurse Practitioner | 66 Wickey Ave, Westbury, NY 11590-2005 | 2020-09-16 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1508412503 | Julie Marie Giles | Nurse Practitioner | 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 | 2019-08-15 |
| 1952874604 | Alice M Carrington | Nurse Practitioner | 61 Syracuse St, Baldwinsville, NY 13027-2929 | 2019-01-05 |
| 1629597224 | Guerdy M Michel-loiseau | Nurse Practitioner | 90-01 Broadway, Elmhurst, NY 11373 | 2017-09-14 |
| 1396297354 | Ann-marie Campbell | Nurse Practitioner | 1292 E 93rd St, Brooklyn, NY 11236-4321 | 2016-10-25 |
| 1255880993 | Deidra G Brown | Nurse Practitioner | 51 Lincoln Ave E, West Harrison, NY 10604-2621 | 2016-09-22 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on MS. DONNA A MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.