JANE MOORE (NPI# 1023543931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023543931 |
| Entity Type | Individual |
| Full Name | JANE MOORE |
| Credential | MPH, RD, LD |
| Practice Address |
180 Kennedy Memorial Dr Waterville ME 04901-4540 |
| Practice Telephone | 2078617150 |
| Mailing Telephone | 2078617150 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI62 | ME | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540644 | Jane Nathanielle Moore | Dentist | 875 Union Ave Dunn Bldg Rm 502c, Memphis, TN 38163-0001 | 2019-07-21 |
| 1205311420 | Jane Moore | Social Worker | 11 Pershing Rd, Jamaica Plain, MA 02130-2015 | 2018-10-03 |
| 1023393980 | Jane Moore | Massage Therapist | 4548 Caraway Drive, Jacksonville, FL 32257 | 2011-10-11 |
| 1679517783 | Jane L Moore | Nurse Practitioner | 5500 E Peakview Ave, Centennial, CO 80121 | 2006-06-16 |
| 1710936208 | Jane Ann Moore | General Practice | 6002 Westgate Blvd, Suite 160, Tacoma, WA 98406-2571 | 2006-05-10 |
| 1083196919 | Jane Marie Moore | Nurse Practitioner | 605 State Street, Curwensville, PA 16833-1116 | 2018-09-06 |
| 1760755318 | Jane Ann Moore | Social Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2012-02-13 |
| 1689997918 | Jane Hwang Moore | Occupational Therapist | 1120 Via Callejon, Suite B, San Clemente, CA 92673-6213 | 2010-03-01 |
| 1255451282 | Jane Moore | Registered Nurse | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2007-03-31 |
| 1063547743 | Jane M Moore | Physical Therapist | 106 E Victoria Ct Ste D, Greenville, NC 27858-5708 | 2007-02-22 |
| Street Address |
180 KENNEDY MEMORIAL DR |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356594 | Craig R Thompson | Surgery | 180 Kennedy Memorial Dr, Suite 304, Waterville, ME 04901-4540 | 2005-06-16 |
| 1124655519 | Robin Fuller | Nurse Practitioner | 180 Kennedy Memorial Dr, Waterville, ME 04901-4540 | 2020-03-25 |
| 1508114430 | Marie Crocker Mason | Physician Assistant | 180 Kennedy Memorial Dr, Suite 301, Waterville, ME 04901-4540 | 2012-08-27 |
| 1962762609 | Danielle Paige Gagnon | Obstetrics & Gynecology | 180 Kennedy Memorial Dr, # 204, Waterville, ME 04901-4540 | 2012-05-28 |
| 1366715302 | Amy M Kuhl | Family Medicine | 180 Kennedy Memorial Dr, Suite 201, Waterville, ME 04901-4540 | 2012-02-22 |
| 1811137888 | Jeffrey Gagnon | Physician Assistant | 180 Kennedy Memorial Dr, Suite 101, Waterville, ME 04901-4540 | 2009-03-03 |
| 1275713760 | Simon A. L. Gibbs | Surgery | 180 Kennedy Memorial Dr, Suite 304, Waterville, ME 04901-4540 | 2007-11-13 |
| 1770702391 | Christina M Altstatt | Physician Assistant | 180 Kennedy Memorial Dr, Suite 202, Waterville, ME 04901-4540 | 2007-04-24 |
| 1073736229 | Roland H. Knausenberger, M.d. Pa | Internal Medicine | 180 Kennedy Memorial Dr, Suite 202, Waterville, ME 04901-4540 | 2007-04-10 |
| 1164565552 | Traci B Schilling | Psychiatry & Neurology | 180 Kennedy Memorial Dr, Suite 203, Waterville, ME 04901-4540 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811397185 | Kristin Huntsman | Dietitian, Registered | 7816 Meadowview Ln, Waterville, OH 43566-1708 | 2014-08-24 |
| 1639604333 | Jennifer Migliore | Dietitian, Registered | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2017-05-01 |
| 1417997263 | Carol S Austin | Dietitian, Registered | 32 College Ave, Waterville, ME 04901-6100 | 2006-06-08 |
| 1851331607 | Cathleen K Clifford | Dietitian, Registered | 32 College Ave, Waterville, ME 04901-6100 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403454 | Jacqueline Robilliard Rd Cde LLC Nutrition Care Center | Dietitian, Registered | 219 Cony Rd, Augusta, ME 04330-0502 | 2020-10-07 |
| 1891392312 | Donna Lynn Walsh | Dietitian, Registered | 10 Stagecoach Rd, Liberty, ME 04949-3133 | 2020-10-07 |
| 1407463888 | Ria Kathleen Saunders | Dietitian, Registered | 219 Cony Rd # 1, Augusta, ME 04330-0502 | 2020-09-29 |
| 1164048260 | Katherine Alexis Davenport | Dietitian, Registered | 126 Wiley Rd Apt B2, Greene, ME 04236-3477 | 2020-06-24 |
| 1407476351 | Tara Gould | Dietitian, Registered | 6 State St Ste 607, Bangor, ME 04401-5140 | 2020-04-21 |
| 1497395081 | Common Beet Nutrition Counseling, LLC | Dietitian, Registered | 21 Simpson Rd, Saco, ME 04072-9554 | 2020-01-10 |
| 1245873868 | Lori A Kaley | Dietitian, Registered | 689 Wings Mills Rd, Mount Vernon, ME 04352-3807 | 2019-10-27 |
| 1225688195 | Brianna Nicole Fortin | Dietitian, Registered | 120 Main St # 113, Saco, ME 04072-3527 | 2019-09-12 |
| 1629636725 | Andrea Paul | Dietitian, Registered | 33 Tucker Ave, Portland, ME 04103-1422 | 2019-06-03 |
| 1477018430 | Kim David | Dietitian, Registered | 13 Buds Trl, Cumberland, ME 04021-3162 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
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| 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.