MICHELLE DENISE MOORE (NPI# 1184173247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184173247 |
| Entity Type | Individual |
| Full Name | MICHELLE DENISE MOORE |
| Credential | NP-C |
| Practice Address |
516b Lincoln Rd Columbus MS 39705-2226 |
| Mailing Address |
1700 Cal Kolola Rd Caledonia MS 39740-9460 |
| Practice Telephone | 6622417177 |
| Practice Fax Number | 6622417176 |
| Mailing Telephone | 6625743894 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
901781 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619501020 | Michelle K Moore | Driver | 4179 Westbrook Dr, Cleveland, OH 44144-1234 | 2020-02-24 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1043769268 | Michelle Moore | Nurse Practitioner | 458 N May St, Chicago, IL 60642-5819 | 2016-09-29 |
| 1356747687 | Michelle Laverne Moore | Nurse Practitioner | 1050 Benton St, Santa Clara, CA 95050-4854 | 2014-11-13 |
| 1407251481 | Michelle Lynn Moore | Contractor | 364 Patteson Dr, 290, Morgantown, WV 26505-3202 | 2014-11-03 |
| 1164827754 | Michelle Moore | Counselor | 550 Bilper Ave Apt 6119, Lindenwold, NJ 08021-1866 | 2014-10-26 |
| 1669880423 | Michelle Moore | Counselor | 302 E Hersey St Ste 8, Ashland, OR 97520-1200 | 2014-07-24 |
| 1992112361 | Michelle Lejay Moore | Community Health Worker | 209 E Moore Ave, Terrell, TX 75160-3207 | 2014-07-17 |
| Street Address |
516B LINCOLN RD |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730202854 | Golden Triangle Neurology Clinic, Pllc | Specialist | 516b Lincoln Rd, Columbus, MS 39705-2226 | 2007-04-06 |
| 1700499241 | Mallory Jones | Nurse Practitioner | 516b Lincoln Rd, Columbus, MS 39705-2226 | 2020-08-25 |
| 1851765226 | Sara Cox | Nurse Practitioner | 516b Lincoln Rd, Columbus, MS 39705-2226 | 2015-11-22 |
| 1396127221 | Convenient Care Medical Clinic LLC | Clinic/Center | 516b Lincoln Rd, Columbus, MS 39705-2226 | 2015-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
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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.