PATRICIA JEAN MOOS (NPI# 1275826810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275826810 |
| Entity Type | Individual |
| Full Name | PATRICIA JEAN MOOS |
| Credential | CNS |
| Practice Address |
104 1st Ave S Ste 300 Jamestown ND 58401-4194 |
| Practice Telephone | 7019529600 |
| Practice Fax Number | 7019529605 |
| Mailing Telephone | 7019529600 |
| Mailing Fax Number | 7019529605 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2014-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R33306 | ND | Nursing Service Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
R33306 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
104 1ST AVE S STE 300 |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-4194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598164972 | Open Minds Psychiatric Services | Community/Behavioral Health | 104 1st Ave S Ste 300, Jamestown, ND 58401-4194 | 2014-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104996271 | Deborah K Johnson | Clinical Nurse Specialist | 1015 S Broadway Ste 37, Minot, ND 58701-4667 | 2006-11-08 |
| 1376581710 | Linda Jo Volness | Clinical Nurse Specialist | 1316 23rd St S, Fargo, ND 58103-3707 | 2006-06-04 |
| 1871684530 | D & L PC | Clinical Nurse Specialist | 1316 23rd St S, Fargo, ND 58103-3707 | 2006-09-27 |
Please comment or provide details below to improve the information on PATRICIA JEAN MOOS.
| 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.