TRACEY D MOORE (NPI# 1306491311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306491311 |
| Entity Type | Individual |
| Full Name | TRACEY D MOORE |
| Credential | RN |
| Practice Address |
1124 Cameron St Ansley NE 68814-0370 |
| Mailing Address |
Po Box 370 Ansley NE 68814-0370 |
| Practice Telephone | 3089351121 |
| Practice Fax Number | 3089359103 |
| Mailing Telephone | 3089351121 |
| Mailing Fax Number | 3089359103 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
56186 | NE | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780850438 | Tracey Moore | Counselor | 1227 Hwy 77, Suite 2, Marion, AR 72364 | 2008-05-02 |
| 1548371073 | Tracey Lynn Moore | Pharmacist | 5684 Moonstone Loop Se, Salem, OR 97306-3517 | 2006-08-31 |
| 1164069860 | Tracey Lee Moore | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163-2703 | 2019-12-02 |
| 1184105090 | Tracey Moore | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2018-08-28 |
| 1730329962 | Tracey Renee Moore | Licensed Practical Nurse | 830 Ezzard Charles Dr, Cincinnati, OH 45214 | 2009-02-27 |
| 1487783635 | Tracey L. Moore | Pharmacy Technician | 1010 W Columbia St, Farmington, MO 63640-2902 | 2007-03-05 |
| 1144363854 | Tracey Rae Moore | Counselor | 619 N Main St, Muskogee, OK 74401-4431 | 2007-02-14 |
| 1720188022 | Tracey D. Moore | Nurse Practitioner | 214 E 23rd St, Cheyenne Regional Medical Center, Emergency Dept., Cheyenne, WY 82001-3748 | 2006-09-25 |
| Street Address |
1124 CAMERON ST |
| City | ANSLEY |
| State | NE |
| Zip Code | 68814-0370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841312584 | Central Nebraska Medical Clinic, P.C. | Family Medicine | 706 Main St., Ansley, NE 68814-0706 | 2007-04-04 |
| 1861497752 | Ansley Rural Fire Protection Dist 1 | Ambulance | 522 Division St, Ansley, NE 68814-2413 | 2005-06-16 |
| 1558754382 | Lisa Lee Beran | Occupational Therapist | 45255 Road 800, Ansley, NE 68814-5120 | 2015-03-18 |
| 1033595954 | Alicia Hermsmeyer | Occupational Therapist | 45255 Road 800, Ansley, NE 68814-5120 | 2015-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754382 | Lisa Lee Beran | Occupational Therapist | 45255 Road 800, Ansley, NE 68814-5120 | 2015-03-18 |
| 1841312584 | Central Nebraska Medical Clinic, P.C. | Family Medicine | 706 Main St., Ansley, NE 68814-0706 | 2007-04-04 |
| 1861497752 | Ansley Rural Fire Protection Dist 1 | Ambulance | 522 Division St, Ansley, NE 68814-2413 | 2005-06-16 |
| 1033595954 | Alicia Hermsmeyer | Occupational Therapist | 45255 Road 800, Ansley, NE 68814-5120 | 2015-08-03 |
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780140020 | Kami Loeffelholz | Registered Nurse | 809 N Cherry St, Pleasanton, NE 68866-3119 | 2019-02-12 |
| 1760967194 | Renee Howell Hutsell | Registered Nurse | 1711 15th Ave, Central City, NE 68826-1807 | 2018-10-02 |
| 1528571288 | Katrina Marie Kuhnel | Registered Nurse | 330 Maple St, Chadron, NE 69337-2225 | 2017-11-15 |
| 1326575523 | Melissa A Jacobsen | Registered Nurse | 1414 3rd Ave, Nebraska City, NE 68410-1932 | 2017-05-18 |
| 1700819158 | Trudy Ann Ketteler | Registered Nurse | 522 State Street, Dalton, NE 69131-0407 | 2006-07-09 |
| 1326667676 | Tara Marie Dickey | Registered Nurse | 7822 Davenport St, Omaha, NE 68114-3629 | 2020-04-15 |
| 1437783669 | Jordan Lynn Ruskamp | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-02-26 |
| 1942830690 | Lori Ickes | Registered Nurse | 110 W 3rd St, Neligh, NE 68756-1464 | 2020-01-22 |
| 1740748920 | Complete Rural Medicine | Registered Nurse | 515 2nd St, Friend, NE 68359-1305 | 2019-03-07 |
| 1487163846 | Jennifer Amy Wells | Registered Nurse | 6800 Normal Blvd, Lincoln, NE 68506-6828 | 2017-09-28 |
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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.