JANICE RENEE MOORE (NPI# 1184130296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184130296 |
| Entity Type | Individual |
| Full Name | JANICE RENEE MOORE |
| Practice Address |
1304 Chinook Ln Pueblo CO 81001-1851 |
| Mailing Address |
41 Montebello Rd Ste 200 Pueblo CO 81001-1366 |
| Practice Telephone | 7195452746 |
| Practice Fax Number | 7195840110 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195429638 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACA.0007115 | CO | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528441144 | Janice Moore | Counselor | 15857 E Ponderosa Dr, Fountain Hills, AZ 85268-3628 | 2015-07-01 |
| 1306227749 | Janice Moore | Prosthetist | 830 W Beacon Rd Apt 6, Lakeland, FL 33803-2862 | 2015-06-11 |
| 1740566835 | Janice Moore | Physical Therapist | 12737 Rockbridge Cir, Colorado Springs, CO 80921-6606 | 2011-11-02 |
| 1558660829 | Janice Moore | Counselor | 3903 Sterling Pointe Dr, Unit Pp9, Winterville, NC 28590-7033 | 2011-03-25 |
| 1457555807 | Janice Ann Moore | Naturopath | 13609 Aspen Ave, Riverview, FL 33569-9351 | 2007-06-11 |
| 1669682035 | Janice Lynn Moore | Speech-Language Pathologist | 1700 Ridge Road, Greenville, SC 29607-4730 | 2007-05-23 |
| 1952496184 | Janice M. Moore | Social Worker | 332 S Providence Rd, Wallingford, PA 19086-6529 | 2006-10-04 |
| 1447287925 | Janice Moore | Nurse Practitioner | 7201 Ranch Road, 2222 Apt 3318, Austin, TX 78730-3228 | 2006-06-28 |
| 1588653307 | Janice Marie Moore | Nurse Practitioner | 9205 Stanton L Young Blvd, Wp2430, Oklahoma City, OK 73104-3251 | 2005-10-14 |
| 1871143875 | Janice Moore | Dentist | 9601 Chester Ave, Cleveland, OH 44106-1666 | 2019-09-12 |
| Street Address |
1304 CHINOOK LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033165527 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2006-05-26 |
| 1619575966 | Samantha Luken | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-09 |
| 1366049744 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-08 |
| 1225635113 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-05 |
| 1194342279 | Dominique Reaux | Social Worker | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1265050306 | Rick Ramos | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1033740600 | Danny Martinez | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-01-31 |
| 1235760968 | Maegan Yoder | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-01-31 |
| 1023673225 | Bambi Creek | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2019-05-03 |
| 1730744848 | Sidney Mcendre | Social Worker | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220099 | Samantha Pino | Counselor | 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 | 2020-09-16 |
| 1881182830 | Manuel Roman Martinez I | Counselor | 720 N Main St Ste 240, Pueblo, CO 81003-3046 | 2018-04-25 |
| 1952820292 | Victoria Lynn Wallace | Counselor | 79 Bonnymede Rd, Apt 104, Pueblo, CO 81001-8100 | 2017-09-19 |
| 1548703937 | Bradley James Rusovick | Counselor | 56 Duke St, 200 West 'b' Street, Suite 226, Pueblo, CO 81005-1604 | 2016-12-02 |
| 1225393267 | Michael Todd Kragt | Counselor | 1515 Fortino Blvd, Suite 120, Pueblo, CO 81008-1664 | 2012-07-05 |
| 1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
| 1497011613 | Sarah Nicole Sandstrom | Counselor | 560 S Bond Dr, Pueblo, CO 81007-1697 | 2012-04-02 |
| 1093088890 | Oasis Counseling, A Pllc | Counselor | 200 W 29th St, Pueblo, CO 81008-1004 | 2012-02-10 |
| 1083918247 | Leo Paul Arguello | Counselor | 1711 East Evans Avenue, Ctp, M-irt, Pueblo, CO 81004 | 2011-01-03 |
| 1689831737 | Matthew Anthony Capranelli | Counselor | 719 W 29th St, Pueblo, CO 81008-1183 | 2008-05-16 |
| Find all providers in PUEBLO | ||||
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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.