LISA MOORE (NPI# 1114357068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114357068 |
| Entity Type | Individual |
| Full Name | LISA MOORE |
| Practice Address |
Route 1 Box 35d Boley OK 74829 |
| Mailing Address |
Po Box 218 Boley OK 74829 |
| Practice Telephone | 9186673367 |
| Practice Fax Number | 9186673387 |
| Mailing Telephone | 9186673367 |
| Mailing Fax Number | 9186673387 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100685660A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1114525813 | Lisa Michelle Moore | Homemaker | 2541 Rockcastle Ct, Miamisburg, OH 45342-7259 | 2020-10-14 |
| 1851913693 | Lisa Moore | Home Health Aide | 2208 Perry Ave, Edgewood, MD 21040-2806 | 2020-05-14 |
| 1275099954 | Lisa Moore | Nurse Practitioner | 6 Misty Glen Ct, Irmo, SC 29063-8134 | 2019-02-18 |
| 1336643410 | Lisa Marcella Moore | Nurse Practitioner | 500 W. Votaw Street, Portland, IN 47371 | 2018-03-22 |
| 1831628494 | Lisa Moore | Counselor | 2714 Tupelo St, Lake Charles, LA 70601-7376 | 2017-06-07 |
| 1801348818 | Lisa Moore | Specialist | 2147 Skyview Dr, Fayetteville, NC 28304-5126 | 2016-10-26 |
| 1679955801 | Lisa Moore | Nurse Anesthetist, Certified Registered | 1481 Meads, Orange, CA 92869 | 2015-06-24 |
| 1689068751 | Lisa Moore | Registered Nurse | 748 Addington Dr, Winterville, NC 28590-7102 | 2015-03-26 |
| 1700292190 | Lisa Moore | Nurse's Aide | 2765 Bramblebush Ct, Columbus, OH 43224-2505 | 2014-07-07 |
| Street Address |
ROUTE 1 BOX 35D |
| City | BOLEY |
| State | OK |
| Zip Code | 74829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144887191 | Dennis Philemon Smith | Case Manager/Care Coordinator | 369026 Us Hwy. 62, Boley, OK 74829 | 2019-05-24 |
| 1376095109 | Kathy Satawake | Case Manager/Care Coordinator | Rt. 1 Box 35d, Boley, OK 74829 | 2016-10-27 |
| 1245689934 | Zondra Magness | Contractor | Rt.1 Box 35d, Boley, OK 74829 | 2016-06-03 |
| 1780006734 | Joyce Redding | Registered Nurse | Rt.1 Box 35 D, Boley, OK 74829 | 2014-01-10 |
| 1821334988 | Ashli Dianne Williams | Case Manager/Care Coordinator | Rt 1, 35d, Boley, OK 74829 | 2012-12-18 |
| 1548536394 | Sherri Harjo | Counselor | Rt 1, Box 35 D, Boley, OK 74829 | 2012-03-27 |
| 1639466923 | Cherri Lynn Williams | Behavioral Analyst | 20 South Pecan, Boley, OK 74829 | 2011-07-07 |
| 1346547452 | Darletta Hinds | Case Manager/Care Coordinator | Rt 1 Box 35d, Boley, OK 74829 | 2011-02-25 |
| 1003118274 | Tanya L Edgell | Case Manager/Care Coordinator | Rr 1, Boley, OK 74829 | 2010-11-22 |
| 1700195625 | Jesse Pierce | Counselor | 369026 Us Hwy 62, Boley, OK 74829 | 2010-09-27 |
| Find all providers in zip 74829 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144887191 | Dennis Philemon Smith | Case Manager/Care Coordinator | 369026 Us Hwy. 62, Boley, OK 74829 | 2019-05-24 |
| 1669995452 | Kacylia Stalin Stevenson | Case Manager/Care Coordinator | 368015 Old Highway 62, Boley, OK 74829-2914 | 2017-07-24 |
| 1376095109 | Kathy Satawake | Case Manager/Care Coordinator | Rt. 1 Box 35d, Boley, OK 74829 | 2016-10-27 |
| 1609240878 | Alana Lynn Owen | Case Manager/Care Coordinator | Rr 1 Box 35, Boley, OK 74829-9707 | 2015-11-25 |
| 1821334988 | Ashli Dianne Williams | Case Manager/Care Coordinator | Rt 1, 35d, Boley, OK 74829 | 2012-12-18 |
| 1346547452 | Darletta Hinds | Case Manager/Care Coordinator | Rt 1 Box 35d, Boley, OK 74829 | 2011-02-25 |
| 1003118274 | Tanya L Edgell | Case Manager/Care Coordinator | Rr 1, Boley, OK 74829 | 2010-11-22 |
| 1871810663 | Travis Burdine | Case Manager/Care Coordinator | Rr 1 Hwy 62, 2 1/2 Miles E of Boley, Boley, OK 74829 | 2010-05-03 |
| 1588145999 | Michael Shane Williams | Case Manager/Care Coordinator | 369026 Us Highway 62, Boley, OK 74829 | 2018-08-23 |
| 1518462787 | Hayden Scott Harris | Case Manager/Care Coordinator | 369026 Us Highway 62, Boley, OK 74829 | 2018-03-28 |
| Find all providers in BOLEY | ||||
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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.