DR. KATHRYN MARIE MOORE (NPI# 1336389980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336389980 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN MARIE MOORE |
| Credential | RN, APRN-BC |
| Practice Address |
2349 Crestcliff Dr Tucker GA 30084-4206 |
| Practice Telephone | 4045581129 |
| Mailing Telephone | 4045581129 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
RN171792 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307538 | Kathryn Moore | Student in an Organized Health Care Education/Training Program | 8307 Knotty Pine Ln, Fairfax Station, VA 22039-3226 | 2020-02-09 |
| 1811495500 | Kathryn Grage Moore | Speech-Language Pathologist | 3200 Pointe Pkwy Ste 200, Peachtree Corners, GA 30092-3370 | 2018-01-27 |
| 1215315569 | Kathryn Pax Lattimore Moore | Psychiatry & Neurology | Uf Health Center for Movement Disorder and Restoration, 3450 Hull Rd, Gainesville, FL 32607 | 2015-05-07 |
| 1477989630 | Kathryn Mccarter Moore | Social Worker | 2520 Robinhood St, #1007, Houston, TX 77005-2547 | 2013-09-19 |
| 1750697371 | Kathryn Adams Moore | Occupational Therapist | 2856 San Benito Dr, Walnut Creek, CA 94598-4105 | 2010-08-19 |
| 1841424652 | Kathryn Anne Moore | Massage Therapist | 404 E 26th St, Suite 105, Tacoma, WA 98421-1312 | 2009-05-07 |
| 1003056326 | Kathryn Moore | Occupational Therapist | 282 Widgedon Lndg, Hilton, NY 14468-8942 | 2009-02-26 |
| 1255577730 | Kathryn Celeste Moore | Durable Medical Equipment & Medical Supplies | 602 Sw 17th St, Seminole, TX 79360-4518 | 2009-01-05 |
| 1346302643 | Kathryn Griffith Moore | Art Therapist | 13652 Adams Springs Rd, Cobb, CA 95426-1096 | 2006-12-14 |
| 1609492727 | Kathryn Baker Moore | Nurse Practitioner | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-06-24 |
| Street Address |
2349 CRESTCLIFF DR |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255870770 | Renee Allen-murray | Nurse Practitioner | 6076 Pattillo Way, Lithonia, GA 30058-6220 | 2017-02-16 |
| 1598136814 | Jodi Holland | Nurse Practitioner | 55 Whitcher Street Suite 160, Marietta, GA 30060 | 2015-10-13 |
| 1649887118 | Christie Sams | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-28 |
| 1275164436 | Jordan Tyler Hill | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-01-27 |
| 1033750781 | Yhaneek N Douglas-mattis | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2019-10-03 |
| 1912558065 | Angela Renee Mcmichael | Nurse Practitioner | 677 Church St Ne, Marietta, GA 30060-1101 | 2019-09-20 |
| 1619520293 | Wendy March Greenway | Nurse Practitioner | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-07-22 |
| 1174176382 | Acenith Garvey | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2019-07-17 |
| 1629538509 | Chika Ngozi Ezenekwe | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2019-03-25 |
| 1598249211 | Sarah Turner Blackstock | Nurse Practitioner | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KATHRYN MARIE 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.