DANIEL MOORE (NPI# 1326575069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326575069 |
| Entity Type | Individual |
| Full Name | DANIEL MOORE |
| Credential | NURSE PRACTITIONER |
| Practice Address |
940 Brookway Blvd Brookhaven MS 39601-2644 |
| Practice Telephone | 6018235000 |
| Practice Fax Number | 6018234140 |
| Mailing Telephone | 6018235000 |
| Mailing Fax Number | 6018234140 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
902196 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
892107 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1005 W Congress St, Brookhaven, MS 396012603 | 6018339388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997676 | Daniel Moore | Rehabilitation Practitioner | 6368 Maratea Ave, Las Vegas, NV 89130-2111 | 2018-06-25 |
| 1972939825 | Daniel Q Moore | Physical Therapist | 6202 Patrigde Dr, Pearland, TX 77584 | 2013-09-24 |
| 1679831713 | Daniel Moore | Rehabilitation Practitioner | 1614 Pacific St, Las Vegas, NV 89104-4042 | 2012-04-26 |
| 1710047832 | Daniel W Moore | Specialist | 790 Church St Ne Ste 330, Marietta, GA 30060-8957 | 2006-12-11 |
| 1427074798 | Daniel Lee Moore | Chiropractor | 6843 Main St, Bonners Ferry, ID 83805-8552 | 2006-07-13 |
| 1679534606 | Daniel Ray Moore | Dentist | 1800 Sw 1st Ave, Suite 530, Portland, OR 97201 | 2006-03-29 |
| 1487644159 | Daniel James Moore | Dentist | 1844 San Miguel Dr, Suite 100, Walnut Creek, CA 94596-4962 | 2005-10-25 |
| 1528054228 | Daniel J Moore | Internal Medicine | 1003 S 5th St # 3l, Tacoma, WA 98405-4210 | 2005-09-27 |
| 1134113335 | Daniel P Moore | Physical Medicine & Rehabilitation | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-09-02 |
| 1285636845 | Daniel Gerald Moore | Chiropractor | 19332 Highway 169, Elk River, MN 55330-4645 | 2005-08-12 |
| Street Address |
940 BROOKWAY BLVD |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477663318 | Dena W Jackson | Internal Medicine | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2006-08-30 |
| 1679107692 | Tucker Lee Brady | Nurse Practitioner | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2020-02-28 |
| 1760814370 | Karen Wallace Freeman | Pharmacist | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2013-08-06 |
| 1821420431 | April Matthews | Pharmacist | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2013-08-06 |
| 1518299213 | Karla Adams Gerald | Nurse Practitioner | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2010-02-04 |
| 1518130392 | Craig D. Berteau | Psychiatry & Neurology | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2008-04-11 |
| 1225147135 | Ramiro A Montalvo Jr. | Internal Medicine | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2006-08-30 |
| 1013026947 | Tonya C Hughey | Nurse Practitioner | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946018 | Jacob Warren Spring | Nurse Practitioner | 414 Hardy Ln, Brookhaven, MS 39601-4046 | 2020-09-09 |
| 1306464425 | Mollie Maria Bowman | Nurse Practitioner | 2165 Prestwick Ct Ne, Brookhaven, GA 30319-4083 | 2020-07-07 |
| 1013534478 | Candace Laird Duckworth | Nurse Practitioner | 1578 Shanna Ln Nw, Brookhaven, MS 39601-4420 | 2020-07-01 |
| 1750748729 | Babatunde Adenusi | Nurse Practitioner | 435 W Brookhaven Rd, Brookhaven, PA 19015-1801 | 2016-01-21 |
| 1265825962 | Leah Smith Mcgehee | Nurse Practitioner | 201 Highway 51 N Ste A, Brookhaven, MS 39601-2653 | 2015-03-05 |
| 1598011090 | Carolyn Sandra Hayes-dozier | Nurse Practitioner | 1616 Powell Rd, Brookhaven, PA 19015-1934 | 2012-08-02 |
| 1215297239 | Lorraine Claudia Blagman | Nurse Practitioner | 4021 Woodworth Rd, Brookhaven, PA 19015-1913 | 2012-05-23 |
| 1386658763 | Catherine W. Knott | Nurse Practitioner | 950 Brookman Blvd, Brookhaven, MS 39601 | 2006-07-28 |
| 1689659864 | Brookhaven Anesthesia & Pain Management | Nurse Practitioner | 1024 D A Biglane Dr, Brookhaven, MS 39601-2331 | 2005-12-12 |
| 1679107692 | Tucker Lee Brady | Nurse Practitioner | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2020-02-28 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on DANIEL 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.