MRS. MICHELE L MOORE (NPI# 1063599710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063599710 |
| Entity Type | Individual |
| Full Name | MRS. MICHELE L MOORE |
| Credential | NP |
| Practice Address |
4857 State Route 5 Vernon NY 13476 |
| Practice Telephone | 3153639995 |
| Practice Fax Number | 3153639686 |
| Mailing Telephone | 3153639995 |
| Mailing Fax Number | 3153639686 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F300032 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02011301 | 05 | |
| MVP | 350496 | 01 | |
| BCBS | 161355152 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275839706 | Michele A Moore | Registered Nurse | 45 N 250 W, Lagrange, IN 46761-8667 | 2011-02-01 |
| 1598060832 | Michele Ann Moore | Registered Nurse | 20370 Poe Sholes Road, Bend, OR 97701 | 2011-01-18 |
| 1851694673 | Michele Louise Moore | Nurse Practitioner | 9130 E Fraser Ct, Spokane, WA 99206-6083 | 2010-12-16 |
| 1477723831 | Michele Lynn Moore | Speech-Language Pathologist | 823 Brooklyn Ave, Apt 1d, Brooklyn, NY 11203-2849 | 2008-03-01 |
| 1396764031 | Michele M. Moore | Dietitian, Registered | 10538 Winters Run, Tallahassee, FL 32312-5107 | 2006-07-19 |
| 1972521607 | Michele Kay Moore | Chiropractor | 7951 Shoal Creek Blvd Ste 230, Austin, TX 78757-7567 | 2006-07-18 |
| 1215979299 | Michele Moore | Nutritionist | 101 Washignton Street, Harrisburg, PA 17104-1612 | 2006-06-12 |
| 1558875088 | Michele R Moore | Counselor | 2714 Canal St Ste 405, New Orleans, LA 70119-5555 | 2017-11-20 |
| 1144776212 | Michele Moore | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2016-08-29 |
| 1043560097 | Michele Jeanette Moore | Registered Nurse | 801 International Pkwy, Suite 500, Lake Mary, FL 32746-4762 | 2012-09-18 |
| Street Address |
4857 STATE ROUTE 5 |
| City | VERNON |
| State | NY |
| Zip Code | 13476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215988134 | Jill A Myers | Nurse Practitioner | 4857 State Route 5, Vernon, NY 13476-3530 | 2006-05-15 |
| 1811216203 | Bush Chiropractic, Pllc | Chiropractor | 4857 State Route 5, Vernon, NY 13476-3530 | 2010-05-25 |
| 1811176183 | Jaclyn S Presley | Physician Assistant | 4857 State Route 5, Vernon, NY 13476 | 2007-11-02 |
| 1548324114 | Darrack L Bush | Chiropractor | 4857 State Route 5, Vernon, NY 13476-3530 | 2006-12-20 |
| 1205849650 | William S Cooley Jr. | Obstetrics & Gynecology | 4857 State Route 5, Vernon, NY 13476 | 2006-08-15 |
| 1962415216 | Oneida Ob/gyn Group, P.C. | Obstetrics & Gynecology | 4857 State Route 5, Vernon, NY 13476 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700196524 | Loving Living Home Health Care and Companionship | Home Health | 6012 State Route 5, Vernon, NY 13476 | 2010-10-14 |
| 1083927594 | Natalie Legler | Licensed Practical Nurse | 4321 Churton Rd, Vernon, NY 13476 | 2010-07-26 |
| 1962570820 | Tanya M Enigk | Social Worker | 5457 East Seneca Street, Vernon, NY 13476 | 2006-11-30 |
| 1811918147 | Ronald E Lather Mdpc | Allergy & Immunology | 5457 E Seneca St, Vernon, NY 13476 | 2006-07-22 |
| 1821027723 | U & I Inc., Usa | Durable Medical Equipment & Medical Supplies | 5236 West Seneca St, Vernon, NY 13476 | 2006-07-02 |
| 1386605848 | John A Wight | Family Medicine | 3 Curtis Road, Vernon, NY 13476 | 2006-03-31 |
| 1184142697 | Oneida Medical Practice, PC | Family Medicine | 3 Curtis Rd, Vernon, NY 13476 | 2017-09-05 |
| 1376924100 | Matthew Siegenthaler | Family Medicine | 3 Curtis Rd, Vernon, NY 13476 | 2015-06-17 |
| 1528216637 | Jennifer Devenezia | Pharmacist | 5236 West Seneca St, Vernon, NY 13476 | 2008-09-03 |
| 1104009133 | Lajos Kovacs | Pharmacist | 5236 West Seneca St, Vernon, NY 13476 | 2007-12-13 |
| Find all providers in zip 13476 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
| 1811400542 | Janet Flink | Nurse Practitioner | 428 Hartford Tpke Ste 210, Vernon, CT 06066-4841 | 2017-11-16 |
| 1962062927 | Joseph Mascolo Sr. | Nurse Practitioner | 35 Talcottville Rd, Vernon, CT 06066-5261 | 2019-06-20 |
| 1912453341 | Cardenas Holistic Healthcare, Pllc | Nurse Practitioner | 1015 Hillcrest Dr, Vernon, TX 76384-3100 | 2016-08-26 |
| 1114377611 | Lourdes Erica Cardenas | Nurse Practitioner | 1015 Hillcrest Dr, Vernon, TX 76384-3100 | 2016-06-15 |
| 1528483807 | Northeastern Pulmonary Associates | Nurse Practitioner | 27 Naek Rd, Suite 2, Vernon, CT 06066-3965 | 2014-02-24 |
| 1154655751 | Deedee S Greco | Nurse Practitioner | 554 Talcottville Rd, Vernon, CT 06066-2310 | 2009-09-29 |
| 1548416241 | Timothy J. Caouette | Nurse Practitioner | 27 Naek Road, Suite 2, Vernon, CT 06066 | 2008-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.