MS. TAMARA NAOMI THOMPSON MOORE (NPI# 1316438625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316438625 |
| Entity Type | Individual |
| Full Name | MS. TAMARA NAOMI THOMPSON MOORE |
| Credential | CLC |
| Practice Address |
8 Straubel Ct Ste 100 Madison WI 53704-4104 |
| Mailing Address |
W380n6297 N Lake Rd Oconomowoc WI 53066-5910 |
| Practice Telephone | 6085359525 |
| Mailing Telephone | 6083203874 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 175M00000X | Midwife, Lay | Other Service Providers | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
| N | 374J00000X | Doula | Nursing Service Related Providers |
| Street Address |
8 STRAUBEL CT STE 100 |
| City | MADISON |
| State | WI |
| Zip Code | 53704-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642174 | Jennifer Hafele | Lactation Consultant, Non-RN | 3402 David Dr, Eau Claire, WI 54701-3030 | 2019-07-25 |
| 1447811138 | Amanda C Kosanda | Lactation Consultant, Non-RN | W9519 Blue Jay Way, Cambridge, WI 53523-9750 | 2019-06-24 |
| 1043732688 | Christi Bednarek | Lactation Consultant, Non-RN | 3301 Kensington Ct, Elmwood Park, WI 53405-4533 | 2017-07-14 |
| 1649710732 | Jessica Rae Tangen | Lactation Consultant, Non-RN | 449 Overlook Pass, Hudson, WI 54016-7547 | 2017-03-08 |
| 1740698935 | Mary Christine Clark | Lactation Consultant, Non-RN | 2774 230th St, Cushing, WI 54006-3421 | 2014-07-31 |
| 1376957126 | Molly Lynn Breuer | Lactation Consultant, Non-RN | 9175 Pride Rd, Glen Haven, WI 53810-9718 | 2014-06-19 |
| 1326463225 | Natalie Gasser | Lactation Consultant, Non-RN | 765 N 116th St, Wauwatosa, WI 53226-3612 | 2014-02-28 |
| 1295073658 | Julia Ahmadinia Amos | Lactation Consultant, Non-RN | 5503 W Martin Dr Apt 6, Milwaukee, WI 53208-2530 | 2013-01-19 |
| 1104193846 | Beth Marie Eddy | Lactation Consultant, Non-RN | 5740 S 114th St, Hales Corners, WI 53130-1810 | 2011-11-23 |
| 1790065944 | Michelle Cummings | Lactation Consultant, Non-RN | 3445 W Alvina Ave, Greenfield, WI 53221-4707 | 2011-08-19 |
| 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.