STACEY J MOORE (NPI# 1275684268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275684268 |
| Entity Type | Individual |
| Full Name | STACEY J MOORE |
| Credential | ARNP |
| Practice Address |
1955 Dixie Hwy Ste C Ft Wright KY 41011-2792 |
| Mailing Address |
Po Box 17510 Covington KY 41017-0510 |
| Practice Telephone | 8593415550 |
| Practice Fax Number | 8593443782 |
| Mailing Telephone | 8593415550 |
| Mailing Fax Number | 8593443782 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
1086649 | KY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3808P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558872341 | Stacey Brigham Moore | Day Training, Developmentally Disabled Services | 4321 Nw State Road 270, Bristol, FL 32321-2303 | 2017-10-19 |
| 1184153553 | Stacey Hurst Moore | Counselor | 4020 Richards Rd Ste F, North Little Rock, AR 72117-2744 | 2017-06-08 |
| 1386075331 | Stacey Moore | Dietitian, Registered | 5124 Roemer Lane, Sacramento, CA 95820-3033 | 2013-12-02 |
| 1942310404 | Stacey Moore | Pharmacist | 2418 Sylvester Rd, Albany, GA 31705-2468 | 2006-08-30 |
| 1265085237 | Stacey Moore | Social Worker | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-07-18 |
| 1457837452 | Stacey D Moore | Dental Hygienist | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2018-07-13 |
| 1184079873 | Stacey Marie Moore | Counselor | 1509 Maple St, Scranton, PA 18505-2707 | 2016-04-29 |
| 1174913297 | Stacey Moore | Massage Therapist | 440 Columbia Blvd, Saint Helens, OR 97051-1910 | 2015-01-27 |
| 1982887493 | Stacey Denise Moore | Surgery | 1550 First Colony Blvd, Sugar Land, TX 77479-4000 | 2007-12-07 |
| 1225210206 | Stacey L Moore | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2007-11-30 |
| Street Address |
1955 DIXIE HWY STE C |
| City | FT WRIGHT |
| State | KY |
| Zip Code | 41011-2792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922077593 | Anita Lynn Weisberger | Obstetrics & Gynecology | 1955 Dixie Hwy, Ste C, Ft Wright, KY 41011-2792 | 2006-03-16 |
| 1760918700 | Rachel Lynn Feinauer | Internal Medicine | 1955 Dixie Hwy, Ft Wright, KY 41011-2792 | 2017-05-11 |
| 1902223613 | Erica D Llewellyn | Audiologist | 1955 Dixie Hwy, Ft Wright, KY 41011-2792 | 2014-03-20 |
| 1881930915 | Laura Powers | Nurse Practitioner | 1955 Dixie Hwy, Ft Wright, KY 41011-2792 | 2012-12-18 |
| 1245593946 | Orthocincy | Orthopaedic Surgery | 1955 Dixie Hwy, Suite K, Ft Wright, KY 41011-2792 | 2012-06-19 |
| 1447277934 | Rebecca L Tackett | Nurse Practitioner | 1955 Dixie Hwy, Suite D, Ft Wright, KY 41011-2792 | 2006-07-17 |
| 1790713667 | Liticia R. Arthur | Physician Assistant | 1955 Dixie Hwy, Ft Wright, KY 41011-2792 | 2006-06-29 |
| 1437104759 | All Woman, Pllc | Nurse Practitioner | 1955 Dixie Hwy, Ste C, Ft Wright, KY 41011-2792 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427442888 | Kari Boswell | Nurse Practitioner | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011-2882 | 2015-03-24 |
| 1881930915 | Laura Powers | Nurse Practitioner | 1955 Dixie Hwy, Ft Wright, KY 41011-2792 | 2012-12-18 |
| 1063788818 | Jeffrey Leider Md Pllc | Nurse Practitioner | 35 Augusta Ave, Ft Wright, KY 41011-3603 | 2012-03-27 |
| 1447277934 | Rebecca L Tackett | Nurse Practitioner | 1955 Dixie Hwy, Suite D, Ft Wright, KY 41011-2792 | 2006-07-17 |
| 1437104759 | All Woman, Pllc | Nurse Practitioner | 1955 Dixie Hwy, Ste C, Ft Wright, KY 41011-2792 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 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.