DR. JENNIFER A MOORE (NPI# 1134639636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134639636 |
Entity Type | Individual |
Full Name | DR. JENNIFER A MOORE |
Credential | PH.D. |
Practice Address |
310 S Walnut Bend Rd Ste 2 Cordova TN 38018-7282 |
Mailing Address |
Po Box 171341 Memphis TN 38187-1341 |
Practice Telephone | 2566565962 |
Mailing Telephone | 2566565962 |
Enumeration Date | 2017-10-10 |
Last Update Date | 2017-10-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
3353 | TN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
1790332104 | Jennifer Dawn Moore | Technician | 3154 Jackson Bridge Rd, Carnesville, GA 30521-4126 | 2019-08-20 |
1427522192 | Jennifer G Moore | Speech-Language Pathologist | 2500 Cherry Ln, Northbrook, IL 60062-4414 | 2019-01-16 |
1548735632 | Jennifer Moore | Counselor | 11706 W Chenango Dr Apt 3, Morrison, CO 80465-2020 | 2018-10-04 |
1295218667 | Jennifer Elaine Moore | Registered Nurse | 185 Vz Cr 2103, Canton, TX 75103 | 2018-09-12 |
1942788104 | Jennifer Heine Moore | Licensed Vocational Nurse | 315 S Grand Saline St, Canton, TX 75103-1355 | 2018-07-31 |
1346778214 | Jennifer Moore | Counselor | 348 Prior Ave N Ste 205, Saint Paul, MN 55104-5591 | 2017-05-23 |
1194263665 | Jennifer Moore | Occupational Therapist | 6540 Havens Corners Rd, Blacklick, OH 43004-8415 | 2017-02-06 |
1790237329 | Jennifer Moore | Student in an Organized Health Care Education/Training Program | 281 Winter St Ste 240, Waltham, MA 02451-8713 | 2016-10-31 |
1932578796 | Jennifer Moore | Doula | 4810 Newkirk St, Ladson, SC 29456-4445 | 2015-09-22 |
Street Address |
310 S WALNUT BEND RD STE 2 |
City | CORDOVA |
State | TN |
Zip Code | 38018-7282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
Find all providers in zip 38018 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619923166 | Christine Marie Malone | Psychologist | 671 N Ericson Rd, Suite 104, Cordova, TN 38018-1018 | 2006-05-26 |
1417578220 | Deidre V Sharp | Psychologist | 8142 Country Village Dr, Cordova, TN 38016-2029 | 2020-05-03 |
1235535956 | Alison Bigelow | Psychologist | 1088 Rogers Rd, Cordova, TN 38018-8546 | 2014-11-06 |
1730374372 | Chamberlin Clinic, Pa | Psychologist | 8316 Macon Ter, Suite 103, Cordova, TN 38018-8505 | 2007-09-06 |
1659427573 | Lisa Craig Winborn | Psychologist | 1540 Appling Care Ln, Suite 100, Cordova, TN 38016-4957 | 2007-01-25 |
1245302298 | William Max Grisham | Psychologist | 245 Germantown Bend Cv, Cordova, TN 38018-7238 | 2006-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720609498 | Kevin Matthew Fry | Psychologist | 208 Conference Center Building 600 Henley Street, Knoxville, TN 37996-0001 | 2020-05-04 |
1013536762 | Angela N Hilton | Psychologist | 1400 N 6th Ave Ste A7, Knoxville, TN 37917-6043 | 2020-04-13 |
1306477963 | Ecounseling Connection, Pllc | Psychologist | 1050 Glenbrook Way Ste 480-406, Hendersonville, TN 37075-1241 | 2020-01-31 |
1457991093 | Cynthia Gay Luther | Psychologist | 702 Weakley Ln, Smyrna, TN 37167-4805 | 2020-01-12 |
1962044198 | Mary B Beasley | Psychologist | 1080 Little Marrowbone Rd, Ashland City, TN 37015 | 2019-10-09 |
1427603554 | University of Memphis | Psychologist | 4055 North Park Loop, Suite 1000, Memphis, TN 38152 | 2019-08-06 |
1104360049 | Calisha Brooks | Psychologist | 7220 Autumn Crossing Way, Brentwood, TN 37027-8828 | 2016-12-12 |
1770843369 | Eric D Manley | Psychologist | 420 W Morris Blvd Ste 130, Morristown, TN 37813-2255 | 2012-05-17 |
1518254168 | Kalpana Gowda | Psychologist | 304b Uptown Sq Ste 4, Murfreesboro, TN 37129-0574 | 2011-07-05 |
1891023826 | Rebecca Ann Temple | Psychologist | 1100 18th Ave S, Nashville, TN 37212-2107 | 2009-12-02 |
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.