CAMILLE SUE MOORE (NPI# 1174821730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174821730 |
| Entity Type | Individual |
| Full Name | CAMILLE SUE MOORE |
| Credential | FNP-BC |
| Practice Address |
859 S 4th Ave Brighton CO 80601 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0990069-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396908570 | Camille Mccormick Moore | Anesthesiology | 1255 S State St Unit 1001, Chicago, IL 60605-3454 | 2008-07-08 |
| 1942467766 | Camille Denise Moore | Counselor | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2008-05-20 |
| Street Address |
859 S 4TH AVE |
| City | BRIGHTON |
| State | CO |
| Zip Code | 80601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841234 | Dana Rae Jesser | Physician Assistant | 859 S 4th Ave, Brighton, CO 80601-3543 | 2005-06-16 |
| 1386167559 | Shoua Her Thao | Registered Nurse | 859 S 4th Ave, Brighton, CO 80601-3205 | 2017-07-19 |
| 1730617192 | Jim Minh Do | Family Medicine | 859 S 4th Ave, Brighton, CO 80601-3205 | 2017-05-30 |
| 1740711845 | Christine M Pigott | Family Medicine | 859 S 4th Ave, Brighton, CO 80601-3205 | 2017-03-21 |
| 1659827079 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 859 S 4th Ave, Brighton, CO 80601-3205 | 2016-08-26 |
| 1598171829 | Barbara Weed | Registered Nurse | 859 S 4th Ave, Brighton, CO 80601-3205 | 2014-07-08 |
| 1922425172 | Rebecca Kamins Mcgourty | Internal Medicine | 859 S 4th Ave, Brighton, CO 80601-3205 | 2014-03-26 |
| 1942634142 | Candace Ann Brewer | Nurse Practitioner | 859 S 4th Ave, Brighton, CO 80601-3543 | 2013-08-25 |
| 1275807497 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 859 S 4th Ave, Brighton, CO 80601-3205 | 2012-03-06 |
| 1437445731 | Priyanka Agarwal Gupta | Family Medicine | 859 S 4th Ave, Brighton, CO 80601-3205 | 2011-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541228 | Dentists of Brighton, LLP | Dentist | 5127 E Bridge Street, Brighton, CO 80601 | 2018-03-16 |
| 1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1427418953 | Alexis Martinez | Dental Hygienist | 1860 Egbert Street, Brighton, CO 80601 | 2016-02-25 |
| 1427413160 | Haile Ogbalidet | Pharmacist | 1605 E. Bridge St, Brighton, CO 80601 | 2015-12-23 |
| 1841686128 | Jamie Nichole Campbell | Pediatrics | 1606 Prairie Center Parkway Premier Pediatrics, Suite 300, Brighton, CO 80601 | 2015-04-13 |
| 1568881795 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 100 N 50th Ave, Brighton, CO 80601 | 2014-04-15 |
| 1841616554 | Rebecca Sholeh Philman | Registered Nurse | 423 Mt Elbert St, Brighton, CO 80601 | 2014-03-06 |
| 1770928756 | Capital Success, LLC | Clinic/Center | 203 Telluride St Unit 750, Brighton, CO 80601 | 2013-05-06 |
| 1992045884 | Kristin Michelle Uchida | Massage Therapist | 27 S 4th Ave, Brighton, CO 80601 | 2013-03-01 |
| Find all providers in zip 80601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1912512591 | Ariel Caprice Lewis | Nurse Practitioner | 2228 Cobblestone Ln, Brighton, MI 48114-7347 | 2020-09-10 |
| 1992320212 | Caitlin Marie Hussey | Nurse Practitioner | 14 Colborne Rd Apt 5, Brighton, MA 02135-4830 | 2020-06-12 |
| 1346873197 | Destiny Lashay Woodard | Nurse Practitioner | 10070 Mcquiston Rd, Brighton, TN 38011-7004 | 2020-02-20 |
| 1013540350 | Tina Yiu | Nurse Practitioner | 42 Euston Rd, Brighton, MA 02135-4805 | 2020-02-14 |
| 1275183907 | Irina Shvets | Nurse Practitioner | 27 Glenmont Rd, Brighton, MA 02135-3145 | 2019-09-15 |
| 1366911687 | Emily Hoeft | Nurse Practitioner | 8246 Hillside Lakes Dr, Brighton, MI 48116-8297 | 2018-11-15 |
| 1073944781 | Patrice Noel | Nurse Practitioner | 11 Nevins St Ste 303, Brighton, MA 02135-3514 | 2013-12-05 |
| 1487094785 | Sara Kallio Becker | Nurse Practitioner | 191 Telluride St Unit 5, Brighton, CO 80601-4356 | 2013-07-01 |
| 1811271448 | Kathryn Grace Victor | Nurse Practitioner | 2 Sutherland Rd, Unit 33, Brighton, MA 02135-7028 | 2011-09-30 |
| Find all providers in BRIGHTON | ||||
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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.