MS. SUSAN MOORE (NPI# 1174770853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174770853 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MOORE |
| Credential | RN |
| Practice Address |
1200 N Beaver St Flagstaff AZ 86001-3118 |
| Practice Telephone | 9287793366 |
| Mailing Telephone | 9287793366 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2009-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
RN089230 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730526971 | Susan Josephine Moore | Developmental Therapist | 302 Glenwood Dr, 201, Bloomingdale, IL 60108-3318 | 2013-05-29 |
| 1134400864 | Susan John Moore | Nurse Practitioner | 3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo, IN 46902-3710 | 2011-09-08 |
| 1265735435 | Susan Annette Moore | Registered Nurse | 589 Oak Hill Branch Rd, South Webster, OH 45682-9094 | 2010-12-09 |
| 1881903896 | Susan Renee Moore | Specialist | 9030 Monticello Rd, Wesson, MS 39191-9027 | 2010-09-26 |
| 1699097964 | Susan A. Moore | Speech-Language Pathologist | 114 Langdell Road, Hyde Park, VT 05655 | 2010-02-26 |
| 1336470715 | Susan Marie Moore | Social Worker | 3298 Silver Ridge Ct, Hermitage, PA 16148-6082 | 2010-01-25 |
| 1659511350 | Susan P Moore | Physical Therapist | 4747 N Ocean Dr, Ste 261, Lauderdale By The Sea, FL 33308-2947 | 2009-02-20 |
| 1760683817 | Susan Sharon Moore | Dietitian, Registered | 1200 S Arlington Ridge Rd, # 610, Arlington, VA 22202-1952 | 2007-05-29 |
| 1336158450 | Susan M Moore | Nurse Practitioner | 111 N 175th St, Omaha, NE 68118-3579 | 2006-08-07 |
| 1356361430 | Susan J. Moore | Internal Medicine | 112 Crofton Place, Uva Lake Monticello Internal Medicine, Palmyra, VA 22963 | 2006-07-20 |
| Street Address |
1200 N BEAVER ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241189 | Alvin B Elisco | Internal Medicine | 1200 N Beaver St, Fmc Hospitalists, Flagstaff, AZ 86001-3118 | 2005-08-02 |
| 1285240515 | Amika Noel | Nurse Anesthetist, Certified Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-09-22 |
| 1669084190 | Margaret Grace Mcgough | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-08-17 |
| 1942818398 | Regan Rowson | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-07-21 |
| 1871118984 | Nancy Gloria Flores | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-06-15 |
| 1679100705 | Kristy Anderson | Occupational Therapist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-26 |
| 1164058087 | Bryan J Ebeling | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-23 |
| 1447808407 | Bryce Aldworth Randall | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-09-03 |
| 1851952162 | Samuel Small | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-26 |
| 1235797283 | Rebecca R Boger | Dietitian, Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912289 | Susan Beaupre | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1336396019 | Karen Duran | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1235386913 | George Destefano | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1104073881 | Antoinette Stouvenel | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1902053689 | Karen Graves | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1770768855 | Neonatal Nurse Practitioners | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992946065 | Kelly Ann Woody | Nurse Practitioner | 300 W Clarendon Ave., # 375, Phoenix, AZ 85013-3420 | 2009-03-18 |
| 1588833537 | Nancy C Broc | Nurse Practitioner | 300 West Clarendon Ave, Suite 375, Phoenix, AZ 85013-3498 | 2008-02-25 |
| 1013158195 | Lisa M Dimenna | Nurse Practitioner | 1501 N Campbell Ave, 3341, Tucson, AZ 85724-5073 | 2009-03-18 |
| 1578703542 | Megan Marie Shea | Nurse Practitioner | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2009-03-03 |
| 1649317868 | Jamie Lee Friedel | Nurse Practitioner | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2007-01-30 |
| 1013085893 | Kathryn Sue Murray | Nurse Practitioner | 310 N Wilmot Rd, Tucson, AZ 85711-2618 | 2006-12-01 |
| 1750458568 | Lucy Marie Delgiorgio | Nurse Practitioner | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2006-11-29 |
| 1477628329 | Patricia Dell King | Nurse Practitioner | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2006-11-22 |
| 1013082700 | Karren Lefevre | Nurse Practitioner | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2006-11-21 |
| 1912953944 | Frances Strodtbeck | Nurse Practitioner | 4212 N 16th St, Phoenix, AZ 85016 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. SUSAN 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.