SHENELL MOORE (NPI# 1215545363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215545363 |
| Entity Type | Individual |
| Full Name | SHENELL MOORE |
| Credential | RMA |
| Practice Address |
225 Gostlin St Hammond IN 46327-1302 |
| Practice Telephone | 7089532575 |
| Practice Fax Number | 2192899108 |
| Mailing Telephone | 7089532575 |
| Mailing Fax Number | 2192899108 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
2811784 | IL | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | HOME HEALTH | 202006291401707 | 01 |
| Street Address |
225 GOSTLIN ST |
| City | HAMMOND |
| State | IN |
| Zip Code | 46327-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231927 | Southlake Community Mental Health Center, Inc | Clinic/Center | 4022 Hohman Ave, Hammond, IN 46327 | 2015-12-31 |
| 1952445330 | William M. Bercik | Dentist | 3810 S Hohman Ave, Hammond, IN 46327-1159 | 2007-02-18 |
| 1295877694 | Hoosier Pharmacy | Pharmacy | 3833 Hohman Ave., Hammond, IN 46327-1160 | 2007-02-13 |
| 1558440149 | St Margaret Mercy Healthcare Centers | Family Medicine | 3831 S Hohman Ave, Hammond, IN 46327-1160 | 2006-11-03 |
| 1538151261 | Claude E Foreit | Family Medicine | 3831 Hohman Ave, Hammond, IN 46327-1160 | 2005-08-18 |
| 1508858069 | Claude A Foreit | Family Medicine | 3831 Hohman Ave, Hammond, IN 46327-1160 | 2005-08-19 |
| 1356333082 | Christopher John Mcintire | Family Medicine | 3831 Hohman Ave, Hammond, IN 46327-1160 | 2005-08-18 |
| 1659923894 | Genoa Healthcare, LLC | Pharmacy | 4022 Hohman Ave Ste 103, Hammond, IN 46327-1239 | 2019-07-09 |
| 1437180346 | Rujuta R Gandhi | Family Medicine | 4022 Hohman Ave, Hammond, IN 46327-1239 | 2006-07-06 |
| 1942587449 | Lori Ann Morrow | Nurse Practitioner | 4022 Hohman Ave, Hammond, IN 46327-1239 | 2011-11-10 |
| Find all providers in zip 46327 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700222841 | Cherryl Arroyo Moreno | Spec/Tech, Pathology | 231 Commerce Dr, Franklin, IN 46131-7310 | 2013-05-15 |
| 1518265289 | Amy L Dedrick | Spec/Tech, Pathology | 1538 Highland Ct, Bluffton, IN 46714-3851 | 2011-03-04 |
| 1063686947 | Daniel Henry Sotak | Spec/Tech, Pathology | 13392 N Badger Grove Dr, Camby, IN 46113-8809 | 2008-04-22 |
| 1922417476 | Avery Hubbard | Spec/Tech, Pathology | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2014-08-08 |
| 1508018078 | Susan Elaine Stanton | Spec/Tech, Pathology | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-10-16 |
| 1720241193 | Julie Ann Priebe | Spec/Tech, Pathology | 1481 W 10th St, Rhodebush Va Medical Center, Indianapolis, IN 46202-2803 | 2008-07-07 |
Please comment or provide details below to improve the information on SHENELL 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.