DR. CANDICE A. MOORE (NPI# 1326013228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326013228 |
| Entity Type | Individual |
| Full Name | DR. CANDICE A. MOORE |
| Credential | M.D. |
| Practice Address |
815 S Ash St Nevada MO 64772-3222 |
| Mailing Address |
Po Box 1547 Sedalia MO 65302-1547 |
| Practice Telephone | 4176678352 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
R6883 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200189009 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047338 | Candice Moore | Counselor | 1375 Camilla Dr, Greenville, NC 27834-9556 | 2018-09-18 |
| 1629555131 | Candice M. Moore | Optometrist | 4465 Jimmy Lee Smith Pkwy Ste 101, Hiram, GA 30141-2723 | 2018-07-26 |
| 1538565106 | Candice Moore | Occupational Therapist | 105a Windmill Cv, Grenada, MS 38901-9305 | 2014-11-10 |
| 1447884846 | Candice Renee Moore | Nurse Practitioner | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-02-25 |
| 1972043131 | Candice Diane Moore | Nurse Practitioner | 2201 Forest Ln, Garland, TX 75042-7957 | 2017-03-06 |
| 1902257165 | Candice Nicole Moore | Nurse Practitioner | 950 Brookway Blvd, Brookhaven, MS 39601-2644 | 2016-06-28 |
| 1558745042 | Candice Gail Moore | Counselor | 10601 Grant Rd, Suite 115b, Houston, TX 77070-4400 | 2015-07-14 |
| 1881932770 | Candice Moore | Physical Therapist | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2013-01-28 |
| 1174699011 | Candice M. Moore | Occupational Therapist | 4500 Interstate 55 North, Suite 291, Highland Village, Jackson, MS 39211 | 2006-11-24 |
| Street Address |
815 S ASH ST |
| City | NEVADA |
| State | MO |
| Zip Code | 64772-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831170034 | Jerry A Morris Jr. | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2005-11-07 |
| 1093324048 | Amanda Tompkins | Social Worker | 815 S Ash St, Nevada, MO 64772-3222 | 2020-07-27 |
| 1134637937 | Marissa Opal Moore | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2018-01-15 |
| 1528579976 | Cindy Layne Brannan | Registered Nurse | 815 S Ash St, Nevada, MO 64772-3222 | 2017-10-12 |
| 1629599873 | Bethany K Fast | Nurse Practitioner | 815 S Ash St, Nevada, MO 64772-3222 | 2017-06-28 |
| 1689194003 | Elizabeth Penick | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2017-06-27 |
| 1558819458 | Katherine Hogsett | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2016-09-20 |
| 1528417581 | Community Mental Health Consultants | Clinic/Center | 815 S Ash St, Nevada, MO 64772-3222 | 2016-06-09 |
| 1073904660 | Maria Wylde-veit | Social Worker | 815 S Ash St, Nevada, MO 64772-3222 | 2015-02-18 |
| 1417386426 | Jeremy David Turk | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2013-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116170 | Elizabeth Hoang | Dentist | 14054 Us-54, Nevada, MO 64772 | 2018-06-05 |
| 1376056424 | Chelsea Deines | Social Worker | 19940 S. 1481 Road, Nevada, MO 64772 | 2017-11-13 |
| 1558712422 | Ozark Tri County Healthcare Consortium | Dentist | 204 N Cedar, Nevada, MO 64772 | 2016-06-22 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1205233129 | Julie Ann Parker | Dental Hygienist | 204 North Cedar, Nevada, MO 64772 | 2014-11-20 |
| 1023432101 | Ashley Mckinney | Speech-Language Pathologist | 811 W Hickory, Nevada, MO 64772 | 2014-02-11 |
| 1477975183 | Krc 1505 Health Care Services LLC | Assisted Living Facility | 1505 East Ashland Street, Nevada, MO 64772 | 2014-01-15 |
| 1649520727 | Kathy J Hallam | Registered Nurse | 320 N Mac Boulevard, Nevada, MO 64772 | 2012-09-14 |
| 1396090916 | Emily Lane | Speech-Language Pathologist | 16927 S 1413 Rd, Nevada, MO 64772 | 2012-07-19 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
| Find all providers in zip 64772 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245436765 | Rene Marie Duregger | Psychiatry & Neurology | 1500 W Ashland St, Nevada, MO 64772-1710 | 2007-06-22 |
| 1114061694 | Abdul Mateen | Psychiatry & Neurology | 1500 W Ashland St, Nevada, MO 64772-1710 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194645 | Lotus Medical Associates LLC | Psychiatry & Neurology | 5100 Oak St Apt 433, Kansas City, MO 64112-2969 | 2019-09-30 |
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
| 1730622929 | Judith Hood Mckelvey | Psychiatry & Neurology | 9861 Copper Hill Rd, Saint Louis, MO 63124-1063 | 2016-11-21 |
| 1548664964 | Melody Ann Boling | Psychiatry & Neurology | 1 Hospital Dr # Dc067.00, Department of Psychiatry, Columbia, MO 65212-1000 | 2014-10-14 |
| 1629332259 | Oksana Baram | Psychiatry & Neurology | 10420 Old Olive Street Rd Ste 204, Saint Louis, MO 63141-5938 | 2012-06-28 |
| 1912293861 | Barbara Buchanan | Psychiatry & Neurology | 16760 S Village Dr, Village of Loch Lloyd, MO 64012-4166 | 2011-06-20 |
| 1710187539 | Danielle Mcgovern Bradshaw | Psychiatry & Neurology | 1101 E Hw 54, Womens Eastern Reception Diagnostic and Correctional Ce, Vandalia, MO 63382 | 2007-07-19 |
| 1689881567 | Pearl Fisher Serota | Psychiatry & Neurology | 621 S New Ballas Rd Ste 693a, Saint Louis, MO 63141-8263 | 2007-05-17 |
| 1154536100 | Rekha Ramanuja | Psychiatry & Neurology | 1220 N Lindbergh Blvd, Saint Louis, MO 63132-1704 | 2007-05-13 |
| 1649325390 | Clifton A Smith | Psychiatry & Neurology | 5931 S Highway 94, Weldon Spring, MO 63304-5611 | 2007-01-24 |
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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.