MS. KELSEY ELIZABETH MOORE (NPI# 1043563695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043563695 |
| Entity Type | Individual |
| Full Name | MS. KELSEY ELIZABETH MOORE |
| Credential | APRN |
| Practice Address |
1810 White Cir Marietta GA 30066-5835 |
| Mailing Address |
1796 Walker Ridge Dr Sw Marietta GA 30064-4190 |
| Practice Telephone | 8888374819 |
| Mailing Telephone | 7708536009 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
181455 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844017 | Kelsey Moore | Optometrist | 13889 Ridgedale Dr, Minnetonka, MN 55305-1768 | 2017-07-24 |
| 1063033819 | Kelsey Moore | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-04 |
| 1215561592 | Kelsey Anne Moore | Dental Assistant | 427 9th St, San Antonio, TX 78215-1528 | 2020-02-26 |
| 1679084305 | Kelsey Grace Moore | Nurse Practitioner | 33501 1st Way S, Federal Way, WA 98003-6208 | 2017-10-20 |
| 1104220086 | Kelsey Moore | Nurse Practitioner | 3631 N Morrison Rd, Muncie, IN 47304-5547 | 2014-10-21 |
| 1538501465 | Kelsey Elizabeth Moore | Behavioral Analyst | 444 S 44th St, Omaha, NE 68131-3727 | 2013-07-19 |
| Street Address |
1810 WHITE CIR |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-5835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356438097 | Paul Lance Walker | Family Medicine | 1810 White Cir, Suite 155, Marietta, GA 30066-5835 | 2006-10-06 |
| 1558749259 | Heather Esser | Physical Therapy Assistant | 1810 White Cir, Marietta, GA 30066-5835 | 2015-05-13 |
| 1205262292 | Wellstar Medical Group, LLC | Internal Medicine | 1810 White Cir, Suite 105, Marietta, GA 30066-5835 | 2013-09-23 |
| 1437591203 | Amy Rebecca Danforth Margrave | Nurse Practitioner | 1810 White Cir, Marietta, GA 30066-5835 | 2013-07-22 |
| 1134471485 | Katherine M Williams | Nurse Practitioner | 1810 White Cir, Suite 105, Marietta, GA 30066-5835 | 2012-10-11 |
| 1093079204 | Carolyn Ruth Smallwood | Family Medicine | 1810 White Cir, Suite 105, Marietta, GA 30066-5835 | 2012-07-02 |
| 1518230226 | April Gardener | Physical Therapy Assistant | 1810 White Cir, Suite 120, Marietta, GA 30066-5835 | 2012-02-13 |
| 1699058131 | Pointmed | Family Medicine | 1810 White Cir, Suite 155, Marietta, GA 30066-5835 | 2011-09-21 |
| 1568755692 | Merrie Tanya Moon | Physician Assistant | 1810 White Cir, Suite 155, Marietta, GA 30066-5835 | 2011-05-23 |
| 1194015123 | Alesia Billingslea | Internal Medicine | 1810 White Cir, Suite 105, Marietta, GA 30066-5835 | 2011-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194207613 | Morgan Medical Associates | Nurse Practitioner | 802 Merlon Ct Sw # 30064, Marietta, GA 30064-1592 | 2018-08-31 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| 1952768939 | Neighborhood Medical Associates Inc | Nurse Practitioner | 2481 Hurt Rd Sw, Marietta, GA 30008-6029 | 2016-01-22 |
| 1801208145 | Hardie Calvert Tatman | Nurse Practitioner | 1640 Powers Ferry Rd Se Ste 330, Marietta, GA 30067-5491 | 2014-05-21 |
| 1720339682 | Natoya Nicola Bender | Nurse Practitioner | 3630 Edenbourgh Pl, Marietta, GA 30066-3081 | 2012-10-01 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1821268897 | Kim Jane Bruner | Nurse Practitioner | Lockheed Martin, 86 S Cobb Dr, Marietta, GA 30063-0001 | 2008-03-06 |
| 1780291468 | Tina Annette Mcgrew | Nurse Practitioner | 400 Matthew St Ste 302, Marietta, OH 45750-1656 | 2020-09-28 |
| 1225514995 | Janet Annikki Dits-rinta-koski | Nurse Practitioner | 1395 S Marietta Pkwy Se Ste 730, Marietta, GA 30067-7886 | 2018-07-16 |
| 1851842652 | Philip Garofano | Nurse Practitioner | 1395 S Marietta Pkwy Se, Marietta, GA 30067-4440 | 2016-10-18 |
| Find all providers in MARIETTA | ||||
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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.