SUSAN JOHN MOORE (NPI# 1134400864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134400864 |
| Entity Type | Individual |
| Full Name | SUSAN JOHN MOORE |
| Credential | F.N.P. |
| Practice Address |
3118 South Lafountain Indiana Health Center - Kokomo Kokomo IN 46902-3710 |
| Mailing Address |
1111 Middle Drive Indiana University/perdue University - Family Health Nu Indianapolis IN 46202-5107 |
| Practice Telephone | 7658644160 |
| Practice Fax Number | 7658644166 |
| Mailing Telephone | 3172748579 |
| Mailing Fax Number | 3172782154 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28074245A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100071250A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730526971 | Susan Josephine Moore | Developmental Therapist | 302 Glenwood Dr, 201, Bloomingdale, IL 60108-3318 | 2013-05-29 |
| 1265735435 | Susan Annette Moore | Registered Nurse | 589 Oak Hill Branch Rd, South Webster, OH 45682-9094 | 2010-12-09 |
| 1881903896 | Susan Renee Moore | Specialist | 9030 Monticello Rd, Wesson, MS 39191-9027 | 2010-09-26 |
| 1699097964 | Susan A. Moore | Speech-Language Pathologist | 114 Langdell Road, Hyde Park, VT 05655 | 2010-02-26 |
| 1336470715 | Susan Marie Moore | Social Worker | 3298 Silver Ridge Ct, Hermitage, PA 16148-6082 | 2010-01-25 |
| 1659511350 | Susan P Moore | Physical Therapist | 4747 N Ocean Dr, Ste 261, Lauderdale By The Sea, FL 33308-2947 | 2009-02-20 |
| 1760683817 | Susan Sharon Moore | Dietitian, Registered | 1200 S Arlington Ridge Rd, # 610, Arlington, VA 22202-1952 | 2007-05-29 |
| 1336158450 | Susan M Moore | Nurse Practitioner | 111 N 175th St, Omaha, NE 68118-3579 | 2006-08-07 |
| 1356361430 | Susan J. Moore | Internal Medicine | 112 Crofton Place, Uva Lake Monticello Internal Medicine, Palmyra, VA 22963 | 2006-07-20 |
| 1063446169 | Susan Moons Moore | Psychologist | 7010 W Highway 71, Suite 340-143, Austin, TX 78735-8300 | 2006-07-11 |
| Street Address |
3118 SOUTH LAFOUNTAIN INDIANA HEALTH CENTER - KOKOMO |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932755048 | Allison Cardwell | Nurse Practitioner | 3611 S Reed Rd Ste 214, Kokomo, IN 46902-3828 | 2019-08-14 |
| 1659526853 | Susan Mcvey Sloss | Nurse Practitioner | 2354 W. Boulevard, Kokomo, IN 46902 | 2008-12-02 |
| 1730335571 | Susan Christine Conner | Nurse Practitioner | 1765 E Lincoln Rd, Kokomo, IN 46902-3993 | 2008-08-12 |
| 1255312914 | Leslie Ann Carter | Nurse Practitioner | 2340 W Sycamore St, Kokomo, IN 46901-4108 | 2005-11-09 |
| 1710593645 | Kasey Nicole Kidd | Nurse Practitioner | 2340 W Sycamore St, Kokomo, IN 46901-4108 | 2020-09-16 |
| 1801408729 | Shirley Patterson | Nurse Practitioner | 3504 S Lafountain St, Kokomo, IN 46902-3803 | 2020-08-21 |
| 1275169534 | Rachel Bridges | Nurse Practitioner | 186 E Southway Blvd, Kokomo, IN 46902-3650 | 2020-03-19 |
| 1982237699 | Elizabeth Ann Fuller | Nurse Practitioner | 138 N Dixon Rd, Kokomo, IN 46901-4154 | 2020-02-20 |
| 1174160204 | Kristen Shepherd | Nurse Practitioner | 3510 S Lafountain St, Kokomo, IN 46902-3803 | 2019-12-09 |
| 1407493901 | Jill Brock | Nurse Practitioner | 3611 S Reed Rd, Kokomo, IN 46902-3806 | 2019-12-03 |
| Find all providers in KOKOMO | ||||
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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.