MS. GLENDA DALE MOYE (NPI# 1043404452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043404452 |
| Entity Type | Individual |
| Full Name | MS. GLENDA DALE MOYE |
| Credential | R.N. |
| Practice Address |
604 E College St Carbondale IL 62901-3309 |
| Practice Telephone | 6184576703 |
| Practice Fax Number | 6185493734 |
| Mailing Telephone | 6184576703 |
| Mailing Fax Number | 6185493734 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | IL | Nursing Service Providers |
| Street Address |
604 E COLLEGE ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932251758 | Southern Illinois Regional Social Services | Community/Behavioral Health | 604 E College St, Carbondale, IL 62901-3309 | 2007-01-18 |
| 1932475506 | Southern Il Regional Social Services | Community/Behavioral Health | 604 E College St, Carbondale, IL 62901-3309 | 2012-03-28 |
| 1174897433 | The H Group Bbt, Inc | Community/Behavioral Health | 604 E College St, Carbondale, IL 62901-3309 | 2012-03-05 |
| 1326326877 | Daniel Wynn Balchen | Case Manager/Care Coordinator | 604 E College St, Carbondale, IL 62901-3309 | 2011-08-02 |
| 1669768446 | Geri L Tucker | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2011-06-21 |
| 1366737967 | Verletta Saxon | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2011-06-13 |
| 1073808796 | Tamara Marie George | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2011-06-10 |
| 1366745598 | Susan L Irwin | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2010-12-09 |
| 1144522889 | Rachelle Erin Ridgeway | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2010-12-01 |
| 1558692285 | Michelle Lynn Gibbs | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2010-01-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1366984031 | Melany Mulligan | Registered Nurse | 341 Hummingbird Ln, Carbondale, IL 62902-7722 | 2016-11-13 |
| 1427228428 | Mark Evans | Registered Nurse | 198 Upper Powderly St, Carbondale, PA 18407-2777 | 2008-03-05 |
| 1073599767 | Erhime T Badejo | Registered Nurse | 305 W Jackson St Ste 200, Carbondale Family Medicine, Carbondale, IL 62901-1474 | 2005-12-15 |
| 1114563368 | Jamie Hultgren | Registered Nurse | 1237 E Main St Ste C1, Carbondale, IL 62901-3148 | 2019-11-22 |
| 1548815293 | Jessica N Baine | Registered Nurse | 404 S Lewis Ln, Carbondale, IL 62901 | 2019-08-08 |
| 1609344308 | Allison Lence | Registered Nurse | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2018-11-12 |
| 1700362183 | John Grady Johnston Jr. | Registered Nurse | 405 W Jackson St, Carbondale, IL 62901 | 2018-07-18 |
| 1124538475 | Ryan Nankervis | Registered Nurse | 405 W Jackson Street, Dba Sih Medical Group Anesthesiology, Carbondale, IL 62901-1462 | 2017-10-01 |
| 1497295901 | Wallace Adam Goforth | Registered Nurse | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-03-02 |
| 1922558923 | Ellen Debora Willis | Registered Nurse | 30-32 N Main St, Carbondale, PA 18407-2304 | 2016-10-13 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.