AMY MOORE (NPI# 1073829750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073829750 |
| Entity Type | Individual |
| Full Name | AMY MOORE |
| Credential | RN CDE |
| Practice Address |
6401 University Ave Ne Suite 100 Fridley MN 55432-4341 |
| Mailing Address |
3128 Chippewa Rd Minnetonka MN 55305-4504 |
| Practice Telephone | 7635024877 |
| Mailing Telephone | 9526490955 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
R 956714 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745977 | Amy Moore | Technician | 1007 Pike St, Parkersburg, WV 26101-6267 | 2020-09-18 |
| 1538785027 | Amy Lawson Moore | Psychologist | 5085 List Dr Ste 200c, Colorado Springs, CO 80919-3301 | 2020-06-19 |
| 1407479850 | Amy Moore | Speech-Language Pathologist | 16792 Edgewater Ln, Huntington Beach, CA 92649-3074 | 2020-05-20 |
| 1659882025 | Amy J. Moore | Counselor | 1200 Luzerne Street Ext, Johnstown, PA 15905-2153 | 2017-10-12 |
| 1104232420 | Amy Moore | Physical Therapist | 7301 Hennessy Blvd Ste 101, Baton Rouge, LA 70808-4384 | 2014-07-08 |
| 1528326923 | Amy Moore | Counselor | 420 Capital Ave, Frankfort, KY 40601 | 2012-04-24 |
| 1851698245 | Amy Jo Moore | Dental Hygienist | 36124 42nd St E, Palmdale, CA 93552-6208 | 2011-02-21 |
| 1437398823 | Amy Wortham Moore | Speech-Language Pathologist | 532 White Stone Way, Hoover, AL 35226-4214 | 2009-02-09 |
| 1710154018 | Amy Lee Moore | Counselor | 875 W. Moreno, Colorado Springs, CO 80905 | 2008-05-15 |
| 1467646372 | Amy Lynn Moore | Licensed Practical Nurse | 575 Sheridan Rd, Noblesville, IN 46060-1317 | 2007-09-04 |
| Street Address |
6401 UNIVERSITY AVE NE SUITE 100 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-4341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669433207 | Cecil Emerson Bassett | Obstetrics & Gynecology | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2006-03-31 |
| 1902430960 | Gloria Jean Nance | Community Health Worker | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2020-02-28 |
| 1144616509 | Fairview Express Care | Internal Medicine | 6401 University Ave Ne, Second Floor, Fridley, MN 55432-4341 | 2015-04-13 |
| 1417365479 | Matthew Sorensen | Physical Therapist | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2014-07-22 |
| 1922361328 | Amanda Kathryn Hilligoss | Physical Therapist | 6401 University Ave Ne, Fridley, MN 55432-4320 | 2012-06-20 |
| 1659674364 | John F. Bartels | Physical Therapist | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2010-12-20 |
| 1295061935 | Deborah Lynn Elsen | Registered Nurse | 6401 University Ave Ne, #200, Fridley, MN 55432-4341 | 2009-10-31 |
| 1902039548 | Lisa Gail Brown | Dietitian, Registered | 6401 University Ave Ne, Suite 200, Fridley, MN 55432-4341 | 2009-08-31 |
| 1811123516 | Anthony J Flink | Physical Therapy Assistant | 6401 University Ave Ne, 105, Fridley, MN 55432-4341 | 2009-06-09 |
| 1518153865 | Jennifer Leanne Williams | Physical Therapist | 6401 University Ave Ne, Fridley, MN 55432-4341 | 2007-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295061935 | Deborah Lynn Elsen | Registered Nurse | 6401 University Ave Ne, #200, Fridley, MN 55432-4341 | 2009-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992241590 | Andrea Pierson | Registered Nurse | 1185 Town Centre Dr Ste 220, Eagan, MN 55123-1186 | 2017-01-06 |
| 1093169567 | Kirsten Lee Johnson | Registered Nurse | 112033 Warner Cir, Chaska, MN 55318-1437 | 2016-04-20 |
| 1073905881 | Cindy Moldan | Registered Nurse | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2015-03-03 |
| 1063815355 | Patricia Ann Osbourn | Registered Nurse | 1900 Centracare Cir # 2500, Centracare Clinic Health Plaza/endocrinology, Saint Cloud, MN 56303-5000 | 2014-10-01 |
| 1942472501 | Margaret Rose Noe | Registered Nurse | Hiwy 84 Cr0324 House#14, Tierra Amarilla, MN 87575 | 2008-03-24 |
| 1881638054 | Joy M Smetanka | Registered Nurse | 6939 Pine Arbor Dr S Ste 100, Cottage Grove, MN 55016-4643 | 2006-06-16 |
| 1881239069 | Pam J Doebbeling | Registered Nurse | 415 Jefferson St N, Wadena, MN 56482-1297 | 2019-11-12 |
| 1104326636 | Rebekah Lynn Gorny | Registered Nurse | 320 E Main St, Crosby, MN 56441-1645 | 2018-02-21 |
| 1467971572 | Rose Marie Mader | Registered Nurse | 1000 Coney St W, Perham, MN 56573-2102 | 2017-09-11 |
| 1477074300 | Cortney Steen | Registered Nurse | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2017-06-30 |
| 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.