DR. KATIE BOZEMAN MOORE (NPI# 1043558661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043558661 |
| Entity Type | Individual |
| Full Name | DR. KATIE BOZEMAN MOORE |
| Credential | PHARMD |
| Practice Address |
4290 Bells Ferry Rd Nw Kennesaw GA 30144-7140 |
| Practice Telephone | 7705160686 |
| Practice Fax Number | 7705166035 |
| Mailing Telephone | 7705160686 |
| Mailing Fax Number | 7705166035 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2016-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 024769 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952816498 | Katie Moore | Speech-Language Pathologist | 28 Bullseye Dr, Troy, IL 62294-2486 | 2017-12-06 |
| 1386052504 | Katie Moore | Nurse Practitioner | 3891 Steeple Chase Ct, Midlothian, TX 76065-4746 | 2014-07-31 |
| 1730226192 | Katie Lea Moore | Occupational Therapist | 13909 Florida Blvd, Livingston, LA 70754 | 2007-02-01 |
| 1821697210 | Katie Scianna Moore | Nurse Practitioner | 4210 Lincoln Rd, Hattiesburg, MS 39402-3093 | 2020-10-19 |
| 1508496332 | Katie Moore | Behavior Technician | 12650 E Briarwood Ave, Suite 207, Centennial, CO 80112-6792 | 2020-01-21 |
| 1306311394 | Katie Emily Moore | Counselor | 11910 Ne 154th St, Brush Prairie, WA 98606-9571 | 2018-10-05 |
| 1851876312 | Katie Moore | Psychologist | 7617 Mineral Point Rd Ste 300, Madison, WI 53717-1623 | 2018-10-01 |
| 1790277853 | Katie Denise Moore | Social Worker | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2018-06-05 |
| 1972873958 | Katie Marie Moore | Social Worker | 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 | 2012-01-06 |
| 1700114063 | Katie Linda Moore | Nurse Practitioner | 908 Jefferson St, Seattle, WA 98104-2433 | 2009-11-25 |
| Street Address |
4290 BELLS FERRY RD NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134172240 | Jens Emilio Valle | Chiropractor | 4290 Bells Ferry Rd Nw, Suite #118, Kennesaw, GA 30144-7140 | 2006-05-18 |
| 1841831211 | Myia Frances Kimble | Clinical Medical Laboratory | 4290 Bells Ferry Rd Nw, Kennesaw, GA 30144-7140 | 2019-10-07 |
| 1417408097 | Astrid Pilar Cabrera | Chiropractor | 4290 Bells Ferry Rd Nw, 118, Kennesaw, GA 30144-7140 | 2016-10-19 |
| 1447598594 | Kayley Pacific | Pharmacist | 4290 Bells Ferry Rd Nw, Kennesaw, GA 30144-7140 | 2013-01-24 |
| 1326386798 | Deborah J Pickett | Pharmacist | 4290 Bells Ferry Rd Nw, Kennesaw, GA 30144-7140 | 2013-01-19 |
| 1205005790 | Ledoux Chiropractic Center, D.c., P,c. | Chiropractor | 4290 Bells Ferry Rd Nw, Suite 118, Kennesaw, GA 30144-7140 | 2008-02-28 |
| 1689892309 | Action Chiropractic Center | Chiropractor | 4290 Bells Ferry Rd Nw, Suite #118, Kennesaw, GA 30144-7140 | 2007-04-20 |
| 1114049491 | James E Ledoux Sr. | Chiropractor | 4290 Bells Ferry Rd Nw, Suite 118, Kennesaw, GA 30144-7140 | 2007-04-06 |
| 1598705808 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 4290 Bells Ferry Rd Nw, Kennesaw, GA 30144-7140 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408457 | Sohail Akhtar | Pharmacist | 2153 Dresden Grn Nw, Kennesaw, GA 30144-1285 | 2020-05-15 |
| 1346710548 | Ostoureh Aieda Ahmadpour | Pharmacist | 4346 Alison Jane Dr Ne, Kennesaw, GA 30144-1714 | 2018-11-29 |
| 1396213534 | Damali Aida Hepburn | Pharmacist | 2465 Kaley Walk Nw, Kennesaw, GA 30152-3015 | 2018-11-06 |
| 1720533227 | Anastasia Anugerah | Pharmacist | 2774 N Cobb Pkwy Ste 201, Kennesaw, GA 30152-3469 | 2016-08-25 |
| 1740533561 | Jean Won Chen | Pharmacist | 3645 Bancroft Main Nw, Kennesaw, GA 30144-6012 | 2012-10-17 |
| 1245585835 | Dalia H Eid | Pharmacist | 1636 Woodsford Rd Nw, Kennesaw, GA 30152-7633 | 2012-07-19 |
| 1730434697 | Truman Mitchell Bell IIi | Pharmacist | 6095 Pine Mountain Rd Nw Ste 108, Kennesaw, GA 30152-3332 | 2012-07-17 |
| 1801151857 | Matthew Christopher Jerris | Pharmacist | 740 Barrett Pkwy, Kennesaw, GA 30144-6860 | 2012-07-05 |
| 1588924468 | Alisha T Valdez | Pharmacist | 225 Townpark Dr Nw, Suite 300, Kennesaw, GA 30144-5886 | 2012-05-24 |
| 1275808537 | Evelyn Steiner | Pharmacist | 645 Ernest W Barrett Pkwy Nw, Pharmacy Department Costco, Kennesaw, GA 30144-4922 | 2012-03-19 |
| Find all providers in KENNESAW | ||||
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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.