ROSEMARY JEAN MOORE (NPI# 1255325841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255325841 |
| Entity Type | Individual |
| Full Name | ROSEMARY JEAN MOORE |
| Credential | MSN |
| Practice Address |
5101 Minnehaha Ave Minneapolis MN 55417-1647 |
| Mailing Address |
113 Isabel St E Saint Paul MN 55107-2249 |
| Practice Telephone | 6127281291 |
| Mailing Telephone | 6512930079 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2010-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R1186101 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 806665500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699231050 | Rosemary Moore | Social Worker | 163 W 125th St Fl 12, New York, NY 10027-4436 | 2019-02-11 |
| 1023492865 | Rosemary Moore | Home Health Aide | 4130 Hunt Pl Ne, Washington, DC 20019-3565 | 2015-07-10 |
| 1073601696 | Rosemary Brown Moore | Social Worker | 1 Veterans Dr, Vamc-116a6, Minneapolis, MN 55417-2309 | 2006-10-10 |
| Street Address |
5101 MINNEHAHA AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55417-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154326635 | Bruce Meyer | Emergency Medicine | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2005-06-20 |
| 1336787076 | Rachel Cooke | Licensed Practical Nurse | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2019-12-12 |
| 1295257756 | Banchi Alebachew | Registered Nurse | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2017-07-16 |
| 1932444957 | Debra Deann Leyes | Pharmacist | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2012-12-02 |
| 1659638690 | Shahrior Imrul Kayes | Nurse Practitioner | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2012-04-16 |
| 1295025864 | State of Minnesota-minnesota Management and Budget | Skilled Nursing Facility | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2011-04-15 |
| 1376844316 | Elnora Michelle Hagans | Registered Nurse | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2010-11-08 |
| 1831490861 | Paula Opatrny | Nurse Practitioner | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2010-11-08 |
| 1891021390 | State of Minnesota-minnesota Management and Budget | Pharmacy | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2009-10-19 |
| 1952401507 | Mark S Burke | Internal Medicine | 5101 Minnehaha Ave, Minneapolis Veterans Home, Minneapolis, MN 55417-1647 | 2006-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1699240580 | Angela Cox | Social Worker | Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 | 2018-10-08 |
| 1407353519 | Kirsten Kathleen Rydberg | Registered Nurse | One Veteran Drive, Minneapolis, MN 55417 | 2018-04-06 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1770025710 | Elizabeth Kate Adam | Registered Nurse | 613 E Minnehaha Pkwy, Minneapolis, MN 55417 | 2016-11-08 |
| 1831579754 | John Rossakis | Occupational Therapist | 5708 42nd Ave S, Minneapolis, MN 55417 | 2015-06-05 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| 1750712733 | Debra Sand | Massage Therapist | 2750 E 50th Street, Minneapolis, MN 55417 | 2013-12-02 |
| 1669764221 | Michael Alan Newman | Internal Medicine | One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 | 2011-05-13 |
| Find all providers in zip 55417 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1356951552 | Madelyn Jayne Argo | Nurse Practitioner | 1720 Victory Memorial Dr, Minneapolis, MN 55412-1239 | 2020-08-03 |
| 1356963789 | Kersten Larayne Bailey | Nurse Practitioner | 2958 Lincoln St Ne, Minneapolis, MN 55418-2236 | 2020-05-07 |
| 1649804519 | Ifrah Abdi Abdullahi | Nurse Practitioner | 620 E Franklin Ave Apt 413, Minneapolis, MN 55404-3293 | 2020-02-28 |
| 1821645342 | Kelsey Middlestaedt | Nurse Practitioner | 2525 Chicago Ave Ste 32-t5, Minneapolis, MN 55404-4518 | 2019-08-20 |
| 1720546773 | Erika Lindsey Kuis | Nurse Practitioner | 918 W Lake St, Minneapolis, MN 55408-2857 | 2019-03-08 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1588176028 | Sylvie Adjoko Gaba | Nurse Practitioner | 100 South Fifth Street 19th Floor, Minneapolis, MN 55402-5199 | 2017-10-24 |
| 1336664804 | Heidi M Morrisey | Nurse Practitioner | 800 East 28th St W, Minneapolis, MN 55407 | 2017-08-07 |
| 1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55417 |
Please comment or provide details below to improve the information on ROSEMARY JEAN 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.