SHANNON SMITH MOORE (NPI# 1316199128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316199128 |
| Entity Type | Individual |
| Full Name | SHANNON SMITH MOORE |
| Credential | CNNP |
| Practice Address |
710 Center St Columbus GA 31901-1527 |
| Mailing Address |
Po Box 1038 Columbus GA 31902-1038 |
| Practice Telephone | 7065711692 |
| Practice Fax Number | 7066606504 |
| Mailing Telephone | 7065711692 |
| Mailing Fax Number | 7066606504 |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2012-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
RN089911 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825565 | Shannon Roberta Moore | In Home Supportive Care | 5686 Broadview Rd Apt 2520, Parma, OH 44134-1647 | 2020-09-11 |
| 1033764055 | Shannon Moore | Physical Therapist | 235 Open Sky Way, Kila, MT 59920-7700 | 2019-08-06 |
| 1770006660 | Shannon Moore | Optometrist | 340 Wood Rd Ste 2020, Braintree, MA 02184-2404 | 2017-07-21 |
| 1316327851 | Shannon Moore | Technician, Other | 24837 Princeton St, Dearborn, MI 48124-4457 | 2015-05-30 |
| 1659713071 | Shannon Lori Moore | Dietitian, Registered | 1114 Thomasville Rd Ste G, Tallahassee, FL 32303-6273 | 2013-07-26 |
| 1326388893 | Shannon Michelle Moore | Developmental Therapist | 340 Ralley Rd, Keavy, KY 40737-2729 | 2013-02-21 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1669767208 | Shannon M Moore | Pharmacist | 80 Baker St, Richmond, VT 05477-7750 | 2011-06-11 |
| 1154636611 | Shannon Monique Moore | Psychologist | 1675 Lakeland Dr Ste 304, Jackson, MS 39216 | 2010-08-09 |
| 1689630246 | Shannon Jessica Moore | Optometrist | 528 Waterloo Rd, Warrenton, VA 20186-3011 | 2006-04-24 |
| Street Address |
710 CENTER ST |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821685 | Lauren C Duty | Pharmacist | 710 Center St, Columbus, GA 31901-1527 | 2005-06-20 |
| 1215540034 | Haytham Wali | Pharmacist | 710 Center St, Columbus, GA 31901-1527 | 2020-08-31 |
| 1255944062 | Pooja Ojha | Pharmacist | 710 Center St, Columbus, GA 31901-1527 | 2020-08-31 |
| 1598378309 | Nabilah Ahmed | Pharmacist | 710 Center St, Columbus, GA 31901-1527 | 2020-08-31 |
| 1548870827 | Taylor Anne Miller | Pharmacist | 710 Center St, Columbus, GA 31901-1527 | 2020-08-03 |
| 1194335422 | Megan Michelle Fonteno | Pharmacist | 710 Center St, Columbus, GA 31901-1527 | 2020-08-02 |
| 1932719390 | Matthew Leland Holt | Pharmacist | 710 Center St, Columbus, GA 31901-1527 | 2020-07-31 |
| 1750991113 | Courtney Mcdonald | Pharmacist | 710 Center St, Columbus, GA 31901-1527 | 2020-07-31 |
| 1770193138 | Ann Nguyen Truong | Pharmacist | 710 Center St, Columbus, GA 31901-1527 | 2020-07-31 |
| 1851916902 | Melanie Quiva Villarosa-sojan | Nurse Anesthetist, Certified Registered | 710 Center St, Columbus, GA 31901-1527 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| Find all providers in zip 31901 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902073968 | Winifred Lea Hix | Nurse Practitioner | 5100 West Broad Street, Columbus, OH 43228 | 2008-05-09 |
| 1871718635 | Peggy Martin O'connor | Nurse Practitioner | Mt Carmel West Hospital, 793 W State St., Columbus, OH 43222-1560 | 2007-04-16 |
| 1164490959 | Alice A Beckman | Nurse Practitioner | 2893 Neil Ave, Apt. 400-b, Columbus, OH 43202-2047 | 2006-03-09 |
| 1922621366 | Lora Zatko | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2639 | 2020-05-20 |
| 1346861580 | Faith Reger | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-04-28 |
| 1770104119 | Jennifer Groves | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-04-27 |
| 1215557871 | Kelly Elizabeth Ventresco | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-1898 | 2020-04-23 |
| 1790305324 | Hannah Mcshea | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-04-23 |
| 1285254805 | Nicole Warner | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-04-23 |
| 1104445469 | Alecia Jean Karr | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-04-15 |
| Find all providers in COLUMBUS | ||||
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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.