TRACY MOORE (NPI# 1144684358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144684358 |
| Entity Type | Individual |
| Full Name | TRACY MOORE |
| Practice Address |
419 N Broadway Locust Grove OK 74352-5020 |
| Practice Telephone | 9184795243 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598130395 | Tracy Moore | Licensed Practical Nurse | 2 Laura Ln, Otisville, NY 10963-2316 | 2015-12-04 |
| 1154536134 | Tracy Lenore Moore | Licensed Practical Nurse | 1046 Lakegrove Ct, Westerville, OH 43081-1958 | 2007-05-11 |
| 1497388417 | Tracy Moore | Physical Medicine & Rehabilitation | 1335 Cypress St Ste 100, San Dimas, CA 91773-3538 | 2020-02-18 |
| 1538711510 | Tracy Moore | Behavior Technician | 9480 Three Rivers Rd, Gulfport, MS 39503-4248 | 2019-07-10 |
| 1982143152 | Tracy Leigh Moore | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2017-02-21 |
| 1588024483 | Tracy Moore | Dietitian, Registered | 3220 Providence Dr, Suite E3-030, Anchorage, AK 99508-4679 | 2016-03-04 |
| 1457743221 | Tracy Moore | Social Worker | 654 Ne 9th Pl, Homestead, FL 33030-4934 | 2015-03-03 |
| 1558614677 | Tracy J Moore | Counselor | 5500 Executive Center Dr, Charlotte, NC 28212-8856 | 2012-10-26 |
| 1861716649 | Tracy Moore | Physical Therapist | 40 N Main St, Bellingham, MA 02019-1590 | 2010-03-23 |
| 1417188558 | Tracy C. Moore | Registered Nurse | 830 S Limestone Street, Lexington, KY 40536-2477 | 2009-08-06 |
| Street Address |
419 N BROADWAY |
| City | LOCUST GROVE |
| State | OK |
| Zip Code | 74352-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447614938 | Christina Grass | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-04-11 |
| 1316458706 | Jill Underwood | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2017-10-12 |
| 1295246684 | Linda Cantrell | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2017-10-12 |
| 1871004275 | Audra Durnal | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2017-10-12 |
| 1649704131 | Brooke Anderson | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2017-04-12 |
| 1245785468 | Shellie Faught (byrd) | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-08-17 |
| 1982159117 | Karen Velosky (goodman) | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-08-17 |
| 1740635200 | Melinda Johnson | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-05-03 |
| 1821452038 | Dolly Murphy | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-04-13 |
| 1326402553 | Janet Beene | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124156807 | County of Mayes Locust Grove Schools | Public Health or Welfare | 700 North Highway 82, Locust Grove Middle School, Locust Grove, OK 74352 | 2007-03-02 |
| 1992813505 | Clinton C. Moore | Chiropractor | 413 E Main St, Locust Grove, OK 74352 | 2006-08-25 |
| 1154371524 | Lora M Collier | Family Medicine | 609 E Main, Locust Grove, OK 74352 | 2006-05-10 |
| 1619964681 | Locust Grove Care Center LLC | Skilled Nursing Facility | 117 Wyandotte & Ross, Locust Grove, OK 74352 | 2005-10-04 |
| 1437475282 | Ccm Chiropractic LLC | Chiropractor | 413 E Main St, Locust Grove, OK 74352 | 2010-04-19 |
| 1902856909 | Mitchell J Collier | Family Medicine | 609 E Main, Locust Grove, OK 74352 | 2006-05-11 |
| 1790076719 | Cynthia Lorraine Parent | Counselor | 1339 N. 435 Rd., Locust Grove, OK 74352-0354 | 2011-04-25 |
| 1861502650 | Linda Sue Hinrichs | Nurse Anesthetist, Certified Registered | 5623 S 440, Locust Grove, OK 74352-1279 | 2006-08-30 |
| 1417138736 | Absolute Dental | Dentist | 409 E. Main Street, Locust Grove, OK 74352-1365 | 2007-11-15 |
| 1023660834 | Christina Whaler | Peer Specialist | 7749 S 4427 Rd, Locust Grove, OK 74352-2005 | 2019-07-11 |
| Find all providers in zip 74352 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366092512 | Savannah Alaine Hagood | Technician | 712 Hines Way, Locust Grove, GA 30248-2193 | 2019-09-18 |
| 1578016523 | Stacy Henington | Technician | 695 E Joe Koelsch Dr, Locust Grove, OK 74352-2061 | 2016-07-26 |
| 1447614938 | Christina Grass | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-04-11 |
| 1649704131 | Brooke Anderson | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2017-04-12 |
| 1245785468 | Shellie Faught (byrd) | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-08-17 |
| 1982159117 | Karen Velosky (goodman) | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-08-17 |
| 1740635200 | Melinda Johnson | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-05-03 |
| 1821452038 | Dolly Murphy | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-04-13 |
| 1326402553 | Janet Beene | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-04-13 |
| 1356705545 | Shelly Horton | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-04-13 |
| Find all providers in LOCUST GROVE | ||||
| City | LOCUST GROVE |
| Zip Code | 74352 |
Please comment or provide details below to improve the information on TRACY 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.