MRS. REBEKAH MOORE (NPI# 1144576232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144576232 |
| Entity Type | Individual |
| Full Name | MRS. REBEKAH MOORE |
| Credential | PMHNP |
| Practice Address |
995 S Clarizz Blvd Bloomington IN 47401-5588 |
| Mailing Address |
Po Box 1149 Bloomington IN 47402-1149 |
| Practice Telephone | 8123533060 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004002A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71004002A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201109040 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 727 W 2nd St, Bloomington, IN 474032209 | 8123533450 | 8123533451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386009801 | Rebekah Moore | Genetic Counselor, MS | 9500 Euclid Avenue, Ne-50, Cleveland, OH 44195 | 2015-12-29 |
| 1437393428 | Rebekah C Moore | Massage Therapist | 997 E County Line Rd, Suite M, Greenwood, IN 46143-1075 | 2009-04-22 |
| 1467618322 | Rebekah Mclaurin Moore | Occupational Therapy Assistant | 631 Junction Creek Dr, Wilmington, NC 28412-2296 | 2008-07-31 |
| 1952528838 | Rebekah Griffin Moore | Physician Assistant | 1750 W 4th St, Suite 5, Mansfield, OH 44906-1770 | 2007-04-20 |
| Street Address |
995 S CLARIZZ BLVD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-5588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750327 | Susan K Lee | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2005-06-16 |
| 1073084612 | Daniel Wade Rademacher | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2018-12-07 |
| 1114473717 | Miranda Conard | Pharmacist | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2016-09-01 |
| 1881070324 | Christine Boardman | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2015-08-06 |
| 1548519572 | Indiana University Health Southern Indiana Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2012-09-06 |
| 1003137126 | Mahesh Kumar Sreedasyam | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401 | 2010-06-14 |
| 1235396045 | Ryan Niehaus | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2008-05-20 |
| 1154507978 | Sarah Suzanne Hartung | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2008-01-10 |
| 1487836409 | Raluca Ioana Vucescu | Internal Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2007-11-30 |
| 1144439506 | Ursula Penrose | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1609343128 | Katy Jo Northcutt | Nurse Practitioner | 1130 S Veterans Parkway, Bloomington, IL 61704-7117 | 2018-11-02 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1720532005 | Antonia Jacqueline Abrahamsen | Nurse Practitioner | 2009 E Oakland Ave, Bloomington, IL 61701-5756 | 2016-08-04 |
| 1700229028 | Steve Mandieka | Nurse Practitioner | 10800 Lyndale Ave S Ste 114, Bloomington, MN 55420-2611 | 2013-04-17 |
| 1144538380 | Julie Ann Whelan | Nurse Practitioner | 8642 Wood Cliff Cir S, Bloomington, MN 55438-1514 | 2010-09-22 |
| 1386877413 | Carrie Hines | Nurse Practitioner | 4444 W State Road 46, Bloomington, IN 47404-9691 | 2009-08-24 |
| 1962634154 | Mark Stock | Nurse Practitioner | 9401 James Ave S Ste 162, Bloomington, MN 55431-2549 | 2009-08-20 |
| 1104911791 | Carla Mcgee | Nurse Practitioner | 600 North Jordan Avenue, Bloomington, IN 47405-3191 | 2006-10-03 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
Please comment or provide details below to improve the information on MRS. REBEKAH 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.