CASSANDRA RENA MOORE (NPI# 1093216152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093216152 |
| Entity Type | Individual |
| Full Name | CASSANDRA RENA MOORE |
| Practice Address |
620 S Laurel St Pine Bluff AR 71601-4859 |
| Practice Telephone | 8705344900 |
| Practice Fax Number | 8705344906 |
| Mailing Telephone | 8705344900 |
| Mailing Fax Number | 8705344906 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081576 | Cassandra Moore | Registered Nurse | 3863 Seabeck Holly Rd Nw, Seabeck, WA 98380-9227 | 2019-06-10 |
| 1437466893 | Cassandra Jean Moore | Counselor | 4667 Macarthur Blvd Ste 320, Newport Beach, CA 92660-1867 | 2010-09-07 |
| 1457415853 | Cassandra Jo Moore | Counselor | 580 North Church Street, Swansea, SC 29160 | 2006-12-20 |
| 1902446800 | Cassandra Moore | Nurse Practitioner | 201 N College St Ste 105, Brandon, MS 39042-4439 | 2020-01-09 |
| 1275198574 | Cassandra Lynnette Moore | Occupational Therapist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2019-05-02 |
| 1194204941 | Cassandra Moore | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2018-08-13 |
| 1912423252 | Cassandra Jo Moore | Counselor | 1720 Nw Lovejoy St, Portland, OR 97209-2346 | 2017-08-18 |
| 1568919223 | Cassandra Moore | Counselor | 1040 Longfield Ct, Montgomery, AL 36117-8055 | 2016-09-09 |
| 1669843967 | Cassandra Rose Moore | Counselor | 617 S Green St, Suite 300, Morganton, NC 28655-3517 | 2015-10-13 |
| 1265742530 | Cassandra Moore | Case Manager/Care Coordinator | 768 Pleasant Valley Rd, Ste 304, Diamond Springs, CA 95619 | 2010-10-20 |
| Street Address |
620 S LAUREL ST |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71601-4859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154412815 | Rhonda Mattox | Psychiatry & Neurology | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2006-09-27 |
| 1982218830 | Myracle Murrell | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2020-09-08 |
| 1952925919 | The P.a.t. Center | Community/Behavioral Health | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2020-06-04 |
| 1093339137 | Rosalind Wallace | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2020-06-04 |
| 1194361824 | Latecia Denay Barnes | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-11-18 |
| 1144889874 | Rosemary Campbell-white | Social Worker | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-06-06 |
| 1710542444 | Jerricka Kelly | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-05-08 |
| 1578127296 | Rae-shem Hawkins | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-04-29 |
| 1437610524 | Tonya Boston | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-03-29 |
| 1518428697 | Curtis Rolfe Iv | Case Manager/Care Coordinator | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162863 | Kb's Adult Health Day Care Center | Clinic/Center | 2911 South Market Street, Pine Bluff, AR 71601 | 2020-10-19 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1407489081 | Katherine Bolden | Clinic/Center | 2911 East Market Street, Pine Bluff, AR 71601 | 2020-02-21 |
| 1851836829 | Rocky Mountain Holdings, LLC | Ambulance | 613b Hangar Row, Pine Bluff, AR 71601 | 2016-12-30 |
| 1316324494 | Nora Elizabeth Horton | Specialist/Technologist | 2003 University Drive, Suite 2, Pine Bluff, Ar, AR 71601 | 2015-04-28 |
| 1780003665 | Sameer R. Shelat | Internal Medicine | 4125, Rhinehart Road, Pine Bluff, AR 71601 | 2014-04-08 |
| 1700150471 | Community Empowerment Council, Inc. | Social Worker | 5830 Hwy 65 South, Pine Bluff, AR 71601 | 2012-02-28 |
| 1922243807 | The Pine Bluff Group, Pllc | Chiropractor | 2102 S. Olive St., Pine Bluff, AR 71601 | 2008-12-08 |
| 1053571711 | Jefferson Comprehensive Care System Inc | Clinic/Center | 1101 Tennssee, Pine Bluff, AR 71601 | 2008-06-16 |
| 1144404799 | The P.a.t. (people Advocating Transition) Center | Counselor | 620 South Laurel, Pine Bluff, AR 71601 | 2007-12-18 |
| Find all providers in zip 71601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821513730 | Alma Carroll | Counselor | 620 S. Laurel Street, Pine Bluff, AR 71601-4859 | 2017-08-11 |
| 1952546194 | Karen Marie Appleget | Counselor | 2304 W 29th Ave, Pine Bluff, AR 71603-5005 | 2008-12-02 |
| 1013167089 | Barbara D Smith | Counselor | 3004 W 34th Ave, Pine Bluff, AR 71603-5502 | 2008-09-25 |
| 1649445651 | Nannette Turner | Counselor | 6210 Dollarway Rd Ste 4, Pine Bluff, AR 71602-3785 | 2008-04-30 |
| 1144404799 | The P.a.t. (people Advocating Transition) Center | Counselor | 620 South Laurel, Pine Bluff, AR 71601 | 2007-12-18 |
| 1710177878 | Cheryl Ann Wessell | Counselor | 3006 S Olive St, Pine Bluff, AR 71603-5438 | 2007-07-25 |
| 1093339137 | Rosalind Wallace | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2020-06-04 |
| 1619509916 | Reginald Pace | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2020-02-05 |
| 1336786946 | Robyne Watley | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2019-12-02 |
| 1891332508 | Brionna Davis | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2019-12-02 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71601 |
Please comment or provide details below to improve the information on CASSANDRA RENA MOORE.
| 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.