MRS. MARY ROSE MOORE (NPI# 1205205804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205205804 |
| Entity Type | Individual |
| Full Name | MRS. MARY ROSE MOORE |
| Credential | FNP-C |
| Practice Address |
1443 Richmond Road Lyndhurst OH 44124 |
| Mailing Address |
1443 Richmond Rd Lyndhurst OH 44124 |
| Practice Telephone | 8663892727 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2017-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.18094 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215467 | Mary Major Moore | Massage Therapist | 335 Ne 4th St # Dt, Bend, OR 97701-5162 | 2020-01-30 |
| 1063654192 | Mary G Moore | Counselor | 103 William Dr, Normal, IL 61761-1862 | 2009-04-06 |
| 1588812325 | Mary Moore | Occupational Therapist | 6801 Copra Ln, Louisville, KY 40219-2156 | 2008-09-05 |
| 1275796625 | Mary Moore | Advanced Practice Midwife | 4118 Winnemac Ave, Madison, WI 53711-1645 | 2008-07-07 |
| 1023288123 | Mary Elizabeth Moore | Registered Nurse | 1064 Independence Ave, Akron, OH 44310 | 2008-03-04 |
| 1861672347 | Mary Patricia Moore | Psychiatry & Neurology | 280 Broad St Ste E, Kernersville, NC 27284-2948 | 2007-11-13 |
| 1134314263 | Mary Margaret Moore | Dermatology | 7435 Highway 6 Ste B, Missouri City, TX 77459-4698 | 2007-09-11 |
| 1871799957 | Mary E Moore | Psychologist | 325 W Hospitality Lane, Suite 310, San Bernandino, CA 92408-3212 | 2007-06-25 |
| 1578629309 | Mary A Moore | Social Worker | 19206 Huebner, Ste 104, San Antonio, TX 78258-9800 | 2006-12-28 |
| 1386743649 | Mary Lisa Moore | Counselor | 2905 Breezewood Ave, Suite 101, Fayetteville, NC 28303 | 2006-09-22 |
| Street Address |
1443 RICHMOND ROAD |
| City | LYNDHURST |
| State | OH |
| Zip Code | 44124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| 1205230166 | Karen D. Nash | Speech-Language Pathologist | 1714 Lander Road, Mayfield Hts, OH 44124 | 2014-10-21 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707288 | Tonya Lewis-brentley | Nurse Practitioner | 5195 Mayfield Rd # 102, Lyndhurst, OH 44124-2464 | 2019-08-26 |
| 1104390228 | Me'chelle Hayes | Nurse Practitioner | 5135 Eastover Rd, Lyndhurst, OH 44124-2416 | 2019-01-11 |
| 1437660404 | Carli Ruth Siegel | Nurse Practitioner | 1168 Haverston Rd, Lyndhurst, OH 44124-1441 | 2017-10-18 |
| 1447635602 | Cathryn Baack | Nurse Practitioner | 1324 Ford Rd, Lyndhurst, OH 44124-1431 | 2015-07-29 |
| 1003430828 | Dana Marie Stone | Nurse Practitioner | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2020-06-08 |
| 1134692262 | Jeniffer Nerone | Nurse Practitioner | 1443 Richmond Rd, Lyndhurst, OH 44124-2485 | 2019-01-11 |
| 1215311071 | Andrea D Cain Smith | Nurse Practitioner | 1443 Richmond Rd, Cvs Minute Clinic, Lyndhurst, OH 44124-2449 | 2015-07-11 |
| 1568704492 | Marilyn Jean Swanson | Nurse Practitioner | 1443 Richmond Rd, Lyndhurst, OH 44124-2449 | 2013-03-18 |
| 1881746410 | Toimeicka La June Worthy | Nurse Practitioner | 29001 Cedar Road, Suite 430, Lyndhurst, OH 44124-4041 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
| 1932700937 | Caroline V Murrey | Nurse Practitioner | 109 Ratcliff Ln, Plain City, OH 43064-8662 | 2020-11-05 |
| 1134720154 | Anthonia Ndali Chukwudelunzu | Nurse Practitioner | 20 Rocky Top Ct, Maple Heights, OH 44137-4760 | 2020-11-05 |
| 1275134801 | Abram James Basinger | Nurse Practitioner | 3956 Sparkhill Dr, Enon, OH 45323-1436 | 2020-11-02 |
| 1780284091 | Tana Darniece Williams | Nurse Practitioner | 513 Harris Rd, Richmond Heights, OH 44143-2539 | 2020-10-27 |
| 1174123335 | Heidi Archer | Nurse Practitioner | 52003 Peck Wadsworth Rd, Wellington, OH 44090-9725 | 2020-10-27 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1538768445 | Ashley Nicole Morgan | Nurse Practitioner | 15099 State Route 170, East Liverpool, OH 43920-9598 | 2020-10-21 |
| 1881293082 | Sommer Saddler | Nurse Practitioner | 2120 Hampstead Rd, Cleveland Heights, OH 44118-2509 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.