TRACEY RAE MOORE


Address: 619 N Main St, Muskogee, OK 74401-4431
Phone: 9186828407

TRACEY RAE MOORE (NPI# 1144363854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144363854
Entity Type Individual
Full Name TRACEY RAE MOORE
Practice Address 619 N Main St
Muskogee
OK 74401-4431
Mailing Address 1811 Quail Run
Muskogee
OK 74403-8460
Practice Telephone 9186828407
Enumeration Date 2007-02-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers TRACEY MOORE

NPI Name Taxonomy Address Enumeration
1306491311 Tracey D Moore Registered Nurse 1124 Cameron St, Ansley, NE 68814-0370 2019-08-06
1780850438 Tracey Moore Counselor 1227 Hwy 77, Suite 2, Marion, AR 72364 2008-05-02
1548371073 Tracey Lynn Moore Pharmacist 5684 Moonstone Loop Se, Salem, OR 97306-3517 2006-08-31
1164069860 Tracey Lee Moore Nurse Practitioner 2485 Pinellas Pl, The Villages, FL 32163-2703 2019-12-02
1184105090 Tracey Moore Counselor 415 E Madison St, South Bend, IN 46617-2322 2018-08-28
1730329962 Tracey Renee Moore Licensed Practical Nurse 830 Ezzard Charles Dr, Cincinnati, OH 45214 2009-02-27
1487783635 Tracey L. Moore Pharmacy Technician 1010 W Columbia St, Farmington, MO 63640-2902 2007-03-05
1720188022 Tracey D. Moore Nurse Practitioner 214 E 23rd St, Cheyenne Regional Medical Center, Emergency Dept., Cheyenne, WY 82001-3748 2006-09-25

Office Location

Street Address 619 N MAIN ST
City MUSKOGEE
State OK
Zip Code 74401-4431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538776547 Amber Marie Wade Peer Specialist 619 N Main St, Muskogee, OK 74401-4431 2020-09-24
1982210159 Dakota James Smith Peer Specialist 619 N Main St, Muskogee, OK 74401-4431 2020-09-22
1154936755 Katelyn Davis Ryan Case Manager/Care Coordinator 619 N Main St, Muskogee, OK 74401-4431 2020-09-10
1316551815 Jonathan D Collins Case Manager/Care Coordinator 619 N Main St, Muskogee, OK 74401-4431 2020-09-02
1689287765 Garrett Boyce Mcguire Peer Specialist 619 N Main St, Muskogee, OK 74401-4431 2020-08-28
1124630173 Nia Ashleigh Collins Case Manager/Care Coordinator 619 N Main St, Muskogee, OK 74401-4431 2020-08-20
1083226484 Robert Samuel Stewart Peer Specialist 619 N Main St, Muskogee, OK 74401-4431 2020-08-18
1609486430 Rebecca Nicole Smith Case Manager/Care Coordinator 619 N Main St, Muskogee, OK 74401-4431 2020-08-06
1336758416 Quinton Ross IIi Case Manager/Care Coordinator 619 N Main St, Muskogee, OK 74401-4431 2020-07-24
1851900914 Shannan Marie Loman Case Manager/Care Coordinator 619 N Main St, Muskogee, OK 74401-4431 2020-07-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508486978 Economy Pharmacy Pharmacy 3414 W. Okmulgee, Muskogee, OK 74401 2020-04-25
1831678390 Jaclyn Drass Nurse Practitioner 201 N 32nd St, Muskogee, OK 74401 2018-08-07
1225530710 Cliffetta J Harrison Case Management 619 N Main St., Muskogee, OK 74401 2018-03-01
1255700720 Wesley B Higgs Physical Therapist 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 2015-09-15
1699163626 Dependable Medical Diagnostics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 122 S. 38th, Muskoqee, OK 74401 2014-12-29
1134529928 Mednow Urgent Care Center LLC Clinic/Center 550 W Shawnee St, Muskogee, OK 74401 2014-08-28
1447676770 Ruby Johns Counselor 403 N 24th, Muskogee, OK 74401 2014-03-11
1417393380 Andreka Pace Counselor 223 W Southside Boulevard, Muskogee, OK 74401 2013-05-17
1730438342 Gordon Keith Harlin Social Worker 619 N Main, Muskogee, OK 74401 2012-08-29
1740565928 Channing Kathleen Burke Counselor 741 South 32nd Street, Muskogee, OK 74401 2011-10-19
Find all providers in zip 74401

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831653153 Nikki Renee Miller Counselor 4708 Coyote Pass Ct, Muskogee, OK 74403-8433 2019-01-31
1831615137 J'briel Elizabeth Porter Counselor 1312 W 60th St N, Muskogee, OK 74403-4405 2017-08-17
1144618505 Tamala Walker Counselor 2604 Williams Ave, Muskogee, OK 74401-5676 2015-01-07
1215340922 Anastasia Bearrentine Counselor 1217 N F St, Muskogee, OK 74403-2128 2014-06-10
1497166540 Melinda A Jaynes Counselor 1203 Mccloud St, Muskogee, OK 74403-7150 2014-05-12
1114355468 Joy Christina Mcnamee Counselor 2450 Hilldale Springs Cir Apt C, Muskogee, OK 74403-4072 2013-10-24
1598109472 Christina R. Brewer Counselor 301 N 12th St, Muskogee, OK 74401-5910 2013-04-23
1033466503 Edward G Bradley Jr. Counselor 223 N 3rd St, Suite 104, Muskogee, OK 74401-6609 2012-08-14
1740565928 Channing Kathleen Burke Counselor 741 South 32nd Street, Muskogee, OK 74401 2011-10-19
1447581012 Mary C Ward Counselor 111 1/2 S York St, Muskogee, OK 74403-5952 2010-01-21
Find all providers in MUSKOGEE

Competitor

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City MUSKOGEE
Zip Code 74401

Improve Information

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Dataset Information

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.

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