STEPHANIE MOORE (NPI# 1134639891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134639891 |
| Entity Type | Individual |
| Full Name | STEPHANIE MOORE |
| Practice Address |
418 Nw 6th St Ste 102 Grants Pass OR 97526-2006 |
| Mailing Address |
Po Box 1121 Roseburg OR 97470-0254 |
| Practice Telephone | 5416722691 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299265 | Stephanie Angela Moore | Nurse Practitioner | 10850 Navajo Dr, New Port Richey, FL 34654-5233 | 2020-06-10 |
| 1174143432 | Stephanie Moore | Behavior Technician | 3205 N Dustin Ave, Farmington, NM 87401-9229 | 2020-04-16 |
| 1386113421 | Stephanie Jade Moore | Counselor | 1104 Vine Street, Batesville, AR 72501-8638 | 2018-11-19 |
| 1609371285 | Stephanie Michelle Moore | Physical Therapy Assistant | 11618 Us Hwy 70 W Ste 100, Clayton, NC 27520-2276 | 2018-03-27 |
| 1851711337 | Stephanie Moore | Health Educator | 2438 Laconia Avenue, Bronx, NY 10469 | 2014-04-23 |
| 1467752584 | Stephanie K Moore | Social Worker | 308 Indigo Drive, Cary, NC 27513-3322 | 2010-10-22 |
| 1275789448 | Stephanie Strong Moore | Dentist | 2025 Glennfield Lane, Augusta, GA 30909 | 2008-08-07 |
| 1376676585 | Stephanie Moore | Behavioral Analyst | 3904 Seasons Pt, Evansville, IN 47715-1389 | 2007-03-14 |
| 1740261486 | Stephanie A Moore | Internal Medicine | 55 Fruit St # 800, Department of Cardiovascular Medicine, Boston, MA 02114-2621 | 2005-11-09 |
| 1225032865 | Stephanie Moore | Clinical Neuropsychologist | 801 N Tustin Ave, #603, Santa Ana, CA 92705-3612 | 2005-06-10 |
| Street Address |
418 NW 6TH ST STE 102 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275950 | Amy Bailey | Counselor | 401 Marion Ln, Grants Pass, OR 97527-5570 | 2020-11-03 |
| 1346889615 | Shawna A Valadez | Counselor | 109 N.e. Manzanita Avenue, Grants Pass, OR 97526-1400 | 2020-01-03 |
| 1033753314 | Wade Counseling and Mentoring Services | Counselor | 232 Sw 6th St, Grants Pass, OR 97526-2406 | 2019-10-30 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1255822110 | Pamela Dee Kelley | Counselor | 720 Nw 6th St, Grants Pass, OR 97526-1524 | 2018-05-25 |
| 1538603618 | Michael Peter Higginbotham II | Counselor | 233 Ne B St Ste 201, Grants Pass, OR 97526-2108 | 2016-12-08 |
| 1376902825 | James A Malan | Counselor | 324 Sw Ramsey, Grants Pass, OR 97527-5529 | 2016-02-12 |
| 1871968602 | Jeffrey A Christophersen | Counselor | 109 Nw Manzanita Ave, Grants Pass, OR 97526 | 2015-12-04 |
| 1649649211 | Carol L Stephens | Counselor | 109 N.e. Manzanita Ave, Grants Pass, OR 97526-1400 | 2015-09-24 |
| 1548654031 | Tawnya Woodley | Counselor | 109 Ne Manzanita Avenue, Grants Pass, OR 97526-1400 | 2015-03-24 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on STEPHANIE 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.