JEREMY MOORE (NPI# 1003425117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003425117 |
| Entity Type | Individual |
| Full Name | JEREMY MOORE |
| Credential | CRNA |
| Practice Address |
100 Brewster Blvd Camp Lejeune NC 28547-2575 |
| Mailing Address |
2810 Jackson St Camp Lejeune NC 28547-1419 |
| Practice Telephone | 9104504357 |
| Mailing Telephone | 8167389389 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2020019737 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659644821 | Jeremy Scott Moore | Social Worker | 106 Algedon Dr, Bessemer City, NC 28016-2857 | 2012-02-17 |
| 1205128451 | Jeremy Clint Moore | Psychiatry & Neurology | 501 Bishop Lane, University of South Alabama, Department of Psychiatry, Mobile, AL 36608 | 2011-05-06 |
| 1528419736 | Jeremy Moore | Social Worker | 1101 Weaver Dairy Rd, Suite 103, Chapel Hill, NC 27514-1791 | 2016-06-29 |
| 1245596022 | Jeremy Moore | Emergency Medicine | 1 Wyoming St, Dayton, OH 45409-2722 | 2012-04-06 |
| 1265676274 | Jeremy Paul Moore | Pediatrics | 10833 Le Conte Ave, B265, Los Angeles, CA 90095-3075 | 2009-04-22 |
| 1760633622 | Jeremy Moore | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2008-10-08 |
| 1295877140 | Jeremy Patrick Moore | Anesthesiology | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2007-02-13 |
| 1184707143 | Jeremy Adam Moore | Otolaryngology | 3650 W Rock Creek Rd, Suite 110, Norman, OK 73072-2202 | 2006-10-23 |
| 1548360290 | Jeremy Emmett Moore | Dentist | 8254 One Calais Ave, Suite 100, Baton Rouge, LA 70809-3450 | 2006-09-23 |
| Street Address |
100 BREWSTER BLVD |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668982 | Pierce Overman | Family Medicine | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2005-06-13 |
| 1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
| 1841802253 | Konstance Mackie | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-18 |
| 1801404546 | Erika Merite Papenfuss | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-20 |
| 1306454244 | Devon Nicole Dan | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-16 |
| 1851918957 | Uriah Nmn Paul | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-06 |
| 1447876529 | Leslee Lynne Smith | Speech-Language Pathologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-24 |
| 1356965727 | Haleigh Leister | Specialist/Technologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-02 |
| 1407482045 | Shajaylyn Lee-combs | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-03-16 |
| 1477188324 | Randi Brenai Allen | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447407317 | Sheila Dawn Costanzo | Licensed Practical Nurse | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2008-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669611 | Rosheika Wilson | Licensed Practical Nurse | 114 Charter Oak Dr, Clayton, NC 27520-4905 | 2020-11-04 |
| 1194325746 | Koretta A King | Licensed Practical Nurse | 152 Queensberry Ct, Greensboro, NC 27405-4899 | 2020-10-31 |
| 1629678271 | Jennetta Shimell Moore | Licensed Practical Nurse | 3215 Old Vineyard Rd, Winston Salem, NC 27103-1411 | 2020-10-31 |
| 1548870215 | Melissa Jordan | Licensed Practical Nurse | 5106 Olde Forest Dr, Greensboro, NC 27406-8718 | 2020-08-06 |
| 1437767654 | Deshawna Mcclain | Licensed Practical Nurse | 334 Troy Lndg, Winston Salem, NC 27107-2678 | 2020-07-14 |
| 1629696711 | Latoniya Chevelle Ellison | Licensed Practical Nurse | 819 Da Vinci St, Durham, NC 27704-3341 | 2020-07-06 |
| 1720602808 | Nancy Parris | Licensed Practical Nurse | 1640 Hedingham Blvd Ste C, Raleigh, NC 27604-8313 | 2020-06-03 |
| 1669094009 | Sara Lynn Schwab | Licensed Practical Nurse | 3188 Chesswood Ln, Winterville, NC 28590-7992 | 2020-05-07 |
| 1134758832 | Michelle Robinson | Licensed Practical Nurse | 208 Valley View Ct, Creedmoor, NC 27522-7800 | 2020-04-04 |
| 1265066815 | Shaneka M Hurdle | Licensed Practical Nurse | 1011 Huffine Mill Rd, Greensboro, NC 27405-6239 | 2020-02-22 |
| Find all providers with the same taxonomy | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
Please comment or provide details below to improve the information on JEREMY 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.