NICHOLE MOORE (NPI# 1013269422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013269422 |
| Entity Type | Individual |
| Full Name | NICHOLE MOORE |
| Practice Address |
3511 W Market St Ste. B Greensboro NC 27403-4443 |
| Mailing Address |
604 Peach Orchard Dr Browns Summit NC 27214-9498 |
| Practice Telephone | 3362943338 |
| Practice Fax Number | 3362946696 |
| Mailing Telephone | 3365434381 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300082K | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790020568 | Nichole Moore | Rehabilitation Practitioner | 8724 Red Rio Dr, Las Vegas, NV 89128-8431 | 2012-12-05 |
| 1023671963 | Nichole Lynn Moore | Licensed Practical Nurse | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2019-04-16 |
| 1215337878 | Nichole Moore | Speech-Language Pathologist | 3687 Tampa Rd, Suite 200, Oldsmar, FL 34677-6307 | 2014-09-01 |
| 1427464569 | Nichole Moore | Rehabilitation Practitioner | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2014-07-09 |
| Street Address |
3511 W MARKET ST STE. B |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942269766 | Keshavpal G Reddy | Psychiatry & Neurology | 3511 W Market St, Suite 100, Greensboro, NC 27403-4443 | 2006-03-21 |
| 1154706778 | Dorothy Ferguson Scifres | Physician Assistant | 3511 W Market St, Greensboro, NC 27403-4443 | 2015-07-24 |
| 1063810976 | Anna G Becker | Physician Assistant | 3511 W Market St, Ste A, Greensboro, NC 27403-4442 | 2014-12-09 |
| 1437420973 | K Reddy Psychiatry & Associates Pa | Psychiatry & Neurology | 3511 W Market St, Suite 100, Greensboro, NC 27403-4443 | 2012-01-13 |
| 1265663371 | Jo Andrea Hughes | Physician Assistant | 3511 W Market St, Ste100, Greensboro, NC 27403-4443 | 2009-08-06 |
| 1366640807 | Katherine Stokes Pickett | Physician Assistant | 3511 W Market St, Suite A, Greensboro, NC 27403-4442 | 2007-07-06 |
| 1639398860 | Stephanie M Riddle | Pharmacist | 3511 W Market St, Suite 100, Greensboro, NC 27403-4443 | 2007-04-25 |
| 1003039884 | Paula Katz | Counselor | 3511 W Market St, Suite 100, Greensboro, NC 27403-4443 | 2007-04-10 |
| 1699893495 | Gina Bowden | Developmental Therapist | 3511 W Market St, Suite B, Greensboro, NC 27403-4443 | 2007-03-27 |
| 1275672776 | Rebecca Austin Smith | Counselor | 3511 W Market St, Greensboro, NC 27403-4443 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193153 | Kattiesha Plum | Developmental Therapist | 4160 Piedmont Pkwy, Greensboro, NC 27410-8174 | 2020-07-31 |
| 1255940581 | Toria Davenport | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-07-22 |
| 1144796509 | Dawn Thornhill | Developmental Therapist | 3107 Bannock Ln, Greensboro, NC 27410-8290 | 2018-10-23 |
| 1760852131 | Olivia Odum | Developmental Therapist | 1567 New Garden Rd Apt 3a, Greensboro, NC 27410 | 2015-09-29 |
| 1780703348 | Nancy Eades | Developmental Therapist | 3511 W Market St Ste B, Greensboro, NC 27403-4442 | 2007-03-28 |
| 1093312563 | Neil Douglas Michaud | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-10-07 |
| 1437766052 | Nakel Mayes-sanford | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-09-28 |
| 1699382317 | Kimberly Eggers | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-09-27 |
| 1043829302 | Derek Alan Wilson | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-07-23 |
| 1548617640 | Kimberly Moles | Developmental Therapist | 3201 W Market St, Greensboro, NC 27403-1455 | 2016-05-18 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
Please comment or provide details below to improve the information on NICHOLE 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.