MRS. JUDY PEPPER-MOORE (NPI# 1144289471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144289471 |
| Entity Type | Individual |
| Full Name | MRS. JUDY PEPPER-MOORE |
| Credential | NP |
| Practice Address |
110 Tchula St Lexington MS 39095-3111 |
| Mailing Address |
Po Box 1410 Attn: Clinic Administration Greenwood MS 38935-1410 |
| Practice Telephone | 6628341855 |
| Mailing Telephone | 6624597189 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R557471 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00114639 | 05 | |
| MS | RHC MEDICARE | 253490 | 01 |
| MS | MEDICARE RAILROAD | 500007837 | 01 |
| Street Address |
110 TCHULA ST |
| City | LEXINGTON |
| State | MS |
| Zip Code | 39095-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841250172 | Greenwood Leflore Hospital | Clinic/Center | 110 Tchula St, Lexington, MS 39095-3111 | 2006-03-23 |
| 1124428628 | Sarah Spencer Walker | Nurse Practitioner | 110 Tchula St, Lexington, MS 39095-3111 | 2014-09-03 |
| 1609981810 | Shelby Lipe | Nurse Practitioner | 110 Tchula St, Lexington, MS 39095-3111 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| 1205082963 | Heather Killebrew Tutor, Dmd, Pa | Dentist | 302 Court Square, Lexington, MS 39095 | 2008-08-13 |
| 1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
| Find all providers in zip 39095 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574235 | Margaret E Lambert | Nurse Practitioner | 2241 Abbeywood Rd, Lexington, KY 40515-1157 | 2020-09-27 |
| 1811526718 | Ashley Conn | Nurse Practitioner | 3050 Helmsdale Pl Apt 5107, Lexington, KY 40509-2452 | 2020-04-03 |
| 1821640483 | Tracy Elizabeth Keisling | Nurse Practitioner | 425 Oxford Rd, Lexington, SC 29072-2270 | 2019-07-14 |
| 1740841345 | Amy Lynn Jennings | Nurse Practitioner | 1760 Nicholasville Rd Ste 302, Lexington, KY 40503-1472 | 2019-06-25 |
| 1609439397 | Kayla Elizabeth Lewis Marcum | Nurse Practitioner | 3101 Richmond Rd Ste 202, Lexington, KY 40509-1525 | 2019-04-17 |
| 1538632609 | Erin Soper | Nurse Practitioner | 4328 Ridgewater Dr, Lexington, KY 40515-5200 | 2019-01-10 |
| 1841761749 | Andrea Kostos Robbins | Nurse Practitioner | 317 Silver Creek Way, Lexington, KY 40511-8624 | 2018-12-17 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1649769704 | Alecia Kristy Mckellar | Nurse Practitioner | 132 Mclee Road, Lexington, SC 29073 | 2018-05-04 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| Find all providers in LEXINGTON | ||||
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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.