TANISHA PENN MOORE (NPI# 1295018034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295018034 |
| Entity Type | Individual |
| Full Name | TANISHA PENN MOORE |
| Credential | LADC |
| Practice Address |
2727 S 137th West Ave Sand Springs OK 74063-5017 |
| Mailing Address |
Po Box 1101 Tulsa OK 74101-1101 |
| Practice Telephone | 9182450231 |
| Practice Fax Number | 9182415031 |
| Mailing Telephone | 9182450231 |
| Mailing Fax Number | 9182415031 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
917 | OK | Behavioral Health & Social Service Providers |
| Street Address |
2727 S 137TH WEST AVE |
| City | SAND SPRINGS |
| State | OK |
| Zip Code | 74063-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730316985 | Mieke N Epps | Social Worker | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2009-06-15 |
| 1376155416 | Samantha Lynne Vaughn | Case Manager/Care Coordinator | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2020-08-19 |
| 1366904237 | Well Spoken | Speech-Language Pathologist | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2019-04-01 |
| 1063992352 | Brittani Nicole Hill | Case Manager/Care Coordinator | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2018-08-16 |
| 1174009310 | Vicki Angela Cantlin | Case Manager/Care Coordinator | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2018-07-11 |
| 1508385543 | Christopher Earl Kelle | Counselor | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2017-09-11 |
| 1477944734 | John David Morrison IIi | Counselor | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2015-02-09 |
| 1023362217 | Michael Douglas Densman | Counselor | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2012-11-09 |
| 1386996767 | Lucinda Turley | Case Manager/Care Coordinator | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2012-10-09 |
| 1619251360 | Mary Matkin | Counselor | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2011-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1609474758 | Sand Springs Dentistry and Braces | Clinic/Center | 152 W. Alexander Blvd, Ste E, Sand Springs, OK 74063 | 2020-10-12 |
| 1689189987 | Constance Rebecca Dimond | Pharmacist | 251 South Hwy 97, Sand Springs, OK 74063 | 2017-12-08 |
| 1104272608 | Rebecca Schulz | Midwife | 20361 W 51st Street, Sand Springs, OK 74063 | 2016-05-13 |
| 1801295266 | Tifhanie Edison | Social Worker | 118 Imperial Blvd, Sandsprings, OK 74063 | 2014-08-21 |
| 1518372770 | Spring Innovations Ok PC | Dentist | 530 Plaza Court, Sand Springs, OK 74063 | 2014-06-26 |
| 1669884987 | James Nelson Cornwell | Family Medicine | 514 Plaza Ct, Sand Springs, OK 74063 | 2014-05-21 |
| 1366874190 | Tim B. Williamson | Acupuncturist | 608 W 41st St, Sand Springs, OK 74063 | 2013-08-03 |
| 1205153483 | Excel Therapy Specialists, LLC | Physical Therapist | 422 Plaza Ct., Ste. A, Sand Springs, OK 74063 | 2010-04-27 |
| 1548592512 | Shannon Kathleen Marie Christmas | Counselor | 401 E Broadway Ct, Suite E, Sand Springs, OK 74063 | 2010-02-02 |
| Find all providers in zip 74063 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508385543 | Christopher Earl Kelle | Counselor | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2017-09-11 |
| 1619251360 | Mary Matkin | Counselor | 2727 S 137th West Ave, Sand Springs, OK 74063-5017 | 2011-09-29 |
| 1336342773 | David R Parker | Counselor | 117 N Main St, Sand Springs, OK 74063-7602 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341337 | Juan Miguel Jimenez | Counselor | 713 Nw 139th St, Edmond, OK 73013-1912 | 2020-09-22 |
| 1790396042 | Amazing Life Behavioral Health and Addiction Services | Counselor | 324 N 19th St Ste 101, Guthrie, OK 73044-2117 | 2020-08-11 |
| 1144839994 | Jill Brittny Johnson | Counselor | 2840 Nw 31st St, Oklahoma City, OK 73112-7407 | 2020-07-28 |
| 1417565243 | Angela Darlene Brooks | Counselor | 3605 Ne 142nd Ct, Edmond, OK 73013-7224 | 2020-07-17 |
| 1285252304 | Max Anna Hanna | Counselor | 2600 W. Coffee Creek Rd, Edmond, OK 73025 | 2020-07-07 |
| 1366060444 | John Christopher Lewis | Counselor | 6302 N Garrison Ave, Tulsa, OK 74126-1512 | 2020-07-06 |
| 1710502505 | Sally Smith | Counselor | 4525 Southcreek Rd, Moore, OK 73165-7359 | 2020-06-08 |
| 1487273223 | Maxwell Brown Enterprise, LLC | Counselor | 250 E Apache St, Tulsa, OK 74106-3702 | 2020-04-12 |
| 1679105068 | Audrey June Halfacre | Counselor | 4803 Ridge St, Tahlequah, OK 74464-5644 | 2020-02-04 |
| 1760021984 | Damilola Mosebolatan Akintola | Counselor | 5013 Oak Manor Dr, Oklahoma City, OK 73135-2235 | 2020-01-06 |
| Find all providers with the same taxonomy | ||||
| City | SAND SPRINGS |
| Zip Code | 74063 |
Please comment or provide details below to improve the information on TANISHA PENN 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.