STACY LYNN MOORE (NPI# 1265071450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265071450 |
| Entity Type | Individual |
| Full Name | STACY LYNN MOORE |
| Credential | CRNP |
| Practice Address |
317 W Gaines St Lawrenceburg TN 38464-3604 |
| Practice Telephone | 9317629665 |
| Practice Fax Number | 9317660767 |
| Mailing Telephone | 9317629665 |
| Mailing Fax Number | 9317660767 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-092232 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164083416 | Stacy Moore | Case Manager/Care Coordinator | 1111 Packard Dr, Akron, OH 44320-3620 | 2019-06-27 |
| 1336537596 | Stacy Moore | Social Worker | 2501 Pittston Rd, Fredericksburg, VA 22408-0261 | 2014-12-22 |
| 1205956430 | Stacy Renee Moore | Specialist/Technologist | 20370 Elm St, Harrah, OK 73045-9110 | 2007-03-30 |
| 1386685121 | Stacy M Moore | Audiologist-Hearing Aid Fitter | 4369 Miller Rd, Flint, MI 48507-1279 | 2006-06-10 |
| 1104461839 | Stacy Moore | Case Manager/Care Coordinator | 1500 Lee St, Alexandria, LA 71301-6234 | 2019-11-18 |
| 1942714159 | Stacy Moore | Community Health Worker | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2017-11-27 |
| 1407136773 | Stacy Cathryn Moore | Nurse Practitioner | 118 Broad St, Dublin, VA 24084-3211 | 2011-08-18 |
| 1689980641 | Stacy Lynn Moore | Nurse Practitioner | 240 Middletown Blvd, Suite 205, Langhorne, PA 19047-1832 | 2010-08-27 |
| Street Address |
317 W GAINES ST |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053392811 | Micky L Busby | Internal Medicine | 317 W Gaines St, Lawrenceburg, TN 38464-3604 | 2005-11-09 |
| 1740774025 | Jennifer Marianne Rikard | Nurse Practitioner | 317 W Gaines St, Lawrenceburg, TN 38464-3604 | 2018-06-19 |
| 1275042731 | Brianna Carnes Sullivan | Nurse Practitioner | 317 W Gaines St, Lawrenceburg, TN 38464-3604 | 2017-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099782 | Yolande P Parson | Social Worker | 1236 1st Ave, Lawrenceburg, TN 38464 | 2019-05-20 |
| 1457878928 | Sheila Ann Turpen | Occupational Therapist | 2380 Buffalo Road, Lawrenceburg, TN 38464 | 2017-08-25 |
| 1790035863 | Donna Cheryll Collins | Nurse Practitioner | 129 South Locust Ave, Lawerenceburg, TN 38464 | 2012-09-14 |
| 1548558943 | John T. Will, D.d.s. | Dentist | 234 East Gaines St, Lawrenceburg, TN 38464 | 2011-07-19 |
| 1093008476 | James Lawson Sullenger | Pharmacist | 2201 North Locust Ave, Lawrenceburg, TN 38464 | 2011-05-18 |
| 1346412624 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 14 Public Square, Lawrenceburg, TN 38464 | 2008-03-27 |
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1548472715 | Lawrence County Senior Citizens Club Inc | Non-emergency Medical Transport (VAN) | 220 Centennial Blvd., Lawrenceburg, TN 38464 | 2007-05-03 |
| 1316169345 | Bernard T Beuerlein | Pharmacist | 111 North Columbia Ave, Lawrenceburg, TN 38464 | 2007-05-02 |
| 1528289188 | Richard Dean Jennings | Pharmacist | 11 Public Square, Lawrenceburg, TN 38464 | 2007-05-01 |
| Find all providers in zip 38464 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370019 | Bernadette Gray | Nurse Practitioner | 165 Mary St, Lawrenceburg, IN 47025-1921 | 2020-06-09 |
| 1659917755 | Carol Annette Stephenson | Nurse Practitioner | 1085 E Gaines St, Lawrenceburg, TN 38464-3865 | 2019-11-23 |
| 1790267870 | Amanda Layne Sebastian | Nurse Practitioner | 1395 Meadow Lark Dr, Lawrenceburg, KY 40342-8806 | 2018-09-05 |
| 1033699103 | Alicia Husted | Nurse Practitioner | 114 Cardinal Dr, Lawrenceburg, KY 40342-1008 | 2018-08-18 |
| 1114436458 | Kimberly Page Myers | Nurse Practitioner | 1000 W Park Dr, Lawrenceburg, KY 40342-8074 | 2017-09-28 |
| 1265984785 | Patrick Richardson | Nurse Practitioner | 1004 Bypass N, Lawrenceburg, KY 40342-8049 | 2016-11-01 |
| 1487026654 | Linda Kelley | Nurse Practitioner | 1407 N Locust Ave, Lawrenceburg, TN 38464-2200 | 2015-10-27 |
| 1063802767 | Amg Crockett LLC | Nurse Practitioner | 1908 N Locust Ave, Lawrenceburg, TN 38464-2334 | 2015-02-02 |
| 1902207301 | Leeann Mckenna Spivey | Nurse Practitioner | 92 Plaza Drive, Lawrenceburg, KY 40342 | 2014-09-04 |
| 1154747483 | Sarah Lynn Brown | Nurse Practitioner | 465a Bielby Rd, Lawrenceburg, IN 47025-1058 | 2014-03-11 |
| Find all providers in LAWRENCEBURG | ||||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
Please comment or provide details below to improve the information on STACY LYNN 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.