CRYSTAL MOORE (NPI# 1043666316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043666316 |
| Entity Type | Individual |
| Full Name | CRYSTAL MOORE |
| Practice Address |
300 Ranger Blvd Roland OK 74954-4040 |
| Practice Telephone | 9184274601 |
| Mailing Telephone | 9184274601 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273753 | Crystal Wade Moore | Nurse Practitioner | 3940 Lowery Ln, Rocky Face, GA 30740-9756 | 2020-04-07 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1033617675 | Crystal Chantel Moore | Licensed Practical Nurse | 2260 Par Ln, H 911, Willoughby Hills, OH 44094-2966 | 2018-01-29 |
| 1477084614 | Crystal Baxley Moore | Specialist | 105 East Broad St, Elizabethtown, NC 28337 | 2017-03-21 |
| 1063849586 | Crystal Lynn Moore | Pharmacist | 700 Merrywood Ln, Star City, AR 71667-5606 | 2013-09-29 |
| 1639411309 | Crystal Moore | Social Worker | 9 Roux 61 Dr Ste C, Natchez, MS 39120-2176 | 2013-03-20 |
| 1790319176 | Crystal Moore | Social Worker | 625 W Elm Ave, Hanover, PA 17331-5125 | 2020-02-25 |
| 1689235954 | Crystal Colleen Moore | Dental Hygienist | 2111 Champa St, Denver, CO 80205-2529 | 2019-06-26 |
| 1336704881 | Crystal A Moore | Counselor | 812 S Walnut St, Spokane, WA 99204-3326 | 2019-05-09 |
| 1821572330 | Crystal Moore | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2018-09-20 |
| Street Address |
300 RANGER BLVD |
| City | ROLAND |
| State | OK |
| Zip Code | 74954-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609079623 | Shawn Wolfe | Occupational Therapist | 300 Ranger Blvd, Roland, OK 74954-4040 | 2007-06-07 |
| 1750807350 | Tasha Acevedo | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2017-08-16 |
| 1487170916 | Cynthia Moore | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2017-08-16 |
| 1891228110 | Tabitha Patterson | Technician | 300 Ranger Blvd, Roland, OK 74954 | 2017-04-04 |
| 1740713064 | Jennifer Duggin | Technician | 300 Ranger Blvd, Roland, OK 74954 | 2017-04-04 |
| 1942657929 | Linda Barnes | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-19 |
| 1659727980 | Amy Akins | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1841646189 | Vicki Jeremiah | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1548616816 | Raquel Rogers | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1336595610 | Gail Sorrell | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164969887 | Trinka Blankenship | Case Manager/Care Coordinator | 509 Dewey St, Poteau, OK 74954 | 2017-01-20 |
| 1972959625 | Karen Lynn Williams | Nurse Practitioner | 508 W. Ray Fine Blvd, Roland, OK 74954 | 2016-05-12 |
| 1285068791 | St. Madron Medical Clinic | Specialist | 205 E. Ray Fine Blvd St. 6, Roland, OK 74954 | 2013-09-03 |
| 1316178155 | Kimberley Ann Brunk | Optometrist | 1022 East Ray Fine Boulevard Suite 5, Roland, OK 74954 | 2009-07-28 |
| 1891939765 | Gary L Axley | Acupuncturist | 303 E. Ray Fine Blvd, Ste 3, Roland, OK 74954 | 2009-04-23 |
| 1598944944 | Seubold Family Chiropractic Inc | Chiropractor | 311 4 E Ray Fine Blvd, Suite4, Roland, OK 74954 | 2007-11-01 |
| 1689799793 | Cynthia Carol Almond | Preventive Medicine | 309 East Ray Fine Blvd, Roland, OK 74954 | 2007-03-20 |
| 1457498644 | Robert Kale | Anesthesiology | 100 East Ray Fine Blvd., Suite Q, Roland, OK 74954 | 2007-01-30 |
| 1255491494 | Lequita J. Joyce Inc | Counselor | 100 East Ray Fine Blvd, Roland, OK 74954 | 2006-12-11 |
| 1174604268 | Morgan A Seubold | Chiropractor | 1022 E Ray Fine Blvd, Ste 4, Roland, OK 74954 | 2006-10-17 |
| Find all providers in zip 74954 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750807350 | Tasha Acevedo | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2017-08-16 |
| 1487170916 | Cynthia Moore | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2017-08-16 |
| 1891228110 | Tabitha Patterson | Technician | 300 Ranger Blvd, Roland, OK 74954 | 2017-04-04 |
| 1740713064 | Jennifer Duggin | Technician | 300 Ranger Blvd, Roland, OK 74954 | 2017-04-04 |
| 1942657929 | Linda Barnes | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-19 |
| 1659727980 | Amy Akins | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1841646189 | Vicki Jeremiah | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1548616816 | Raquel Rogers | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1336595610 | Gail Sorrell | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| 1831545144 | Tiffany Davis | Technician | 300 Ranger Blvd, Roland, OK 74954-4040 | 2016-05-05 |
| Find all providers in ROLAND | ||||
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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.