MRS. JACQUELINE MOORE (NPI# 1245705631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245705631 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE MOORE |
| Practice Address |
2600 Sw Holden St Seattle WA 98126-3505 |
| Practice Telephone | 2067791092 |
| Mailing Telephone | 2067791092 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CG60717901 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222754 | Jacqueline Blair Moore | Counselor | 14651 Dallas Pkwy Ste 134, Dallas, TX 75254-8904 | 2019-08-30 |
| 1376103838 | Jacqueline Faith Moore | Marriage & Family Therapist | 5450 Ralston St Ste 101, Ventura, CA 93003-6042 | 2019-06-17 |
| 1033611256 | Jacqueline Moore | Registered Nurse | 314 Main St Ste D, Monticello, MS 39654-3702 | 2018-03-03 |
| 1952655466 | Jacqueline Adele Moore | Massage Therapist | 1048 Spinnaker St, Elgin, IL 60123-8587 | 2012-11-06 |
| 1659649002 | Jacqueline Historian Moore | Licensed Practical Nurse | 6256 Hillandale Dr Apt 803, Lithonia, GA 30058-2432 | 2011-12-13 |
| 1619173838 | Jacqueline Diana Moore | Surgery | 2280 Opitz Blvd Ste 110, Woodbridge, VA 22191-3362 | 2007-06-25 |
| 1962059980 | Jacqueline Moore | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2019-08-23 |
| 1336702638 | Jacqueline Dyan Moore | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-04-22 |
| 1336702315 | Jacqueline Moore | Developmental Therapist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2019-04-16 |
| 1598235889 | Jacqueline Marie Moore | Nurse Practitioner | 101 E 8th St Ste 110, Vancouver, WA 98660-3294 | 2018-11-29 |
| Street Address |
2600 SW HOLDEN ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728105 | Navos | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2005-05-23 |
| 1285234823 | Cardett E Geohagen | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-10-30 |
| 1245838192 | Victoria Chambers | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-10-13 |
| 1093313876 | Baylee Elizabeth Bortz | Registered Nurse | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-10-13 |
| 1821605668 | Ciera Coyan | Student in an Organized Health Care Education/Training Program | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-25 |
| 1609482736 | Jude Walker | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-23 |
| 1316553555 | Blake Aubery Phillips | Technician, Pathology | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-22 |
| 1962018192 | Sean Ambrose | Student in an Organized Health Care Education/Training Program | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-22 |
| 1285249060 | Michael Anthony Trujillo | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-09 |
| 1013521251 | Joyce Kristine Aquino | Counselor | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
| Find all providers in zip 98126 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1376007286 | Fritzina Fay Johnson | Peer Specialist | 1420 Western Ave Apt 1004, Seattle, WA 98101-2041 | 2019-01-24 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1548735897 | Kris Glen Hills | Peer Specialist | 28 S Brandon St, Seattle, WA 98134-2428 | 2018-10-12 |
| 1558960237 | Nicolette Vandenberg | Peer Specialist | 2100 24th Ave S, Seattle, WA 98144-4637 | 2020-10-22 |
| 1649878562 | Jay Thomas Scott | Peer Specialist | 222 Wall St, Seattle, WA 98121-1431 | 2020-10-13 |
| 1699372219 | Jody Orr | Peer Specialist | 2100 24th Ave S, Seattle, WA 98144-4637 | 2020-10-06 |
| 1902410970 | Sheridan Elizabeth Turner | Peer Specialist | 1600 S Lane St, Seattle, WA 98144-2810 | 2020-09-07 |
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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.