JACQUELINE DYAN MOORE (NPI# 1336702638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336702638 |
| Entity Type | Individual |
| Full Name | JACQUELINE DYAN MOORE |
| Credential | DO |
| Practice Address |
800 Garfield Ave Rm G102 Parkersburg WV 26101-5340 |
| Practice Telephone | 3044244575 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222754 | Jacqueline Blair Moore | Counselor | 14651 Dallas Pkwy Ste 134, Dallas, TX 75254-8904 | 2019-08-30 |
| 1376103838 | Jacqueline Faith Moore | Marriage & Family Therapist | 5450 Ralston St Ste 101, Ventura, CA 93003-6042 | 2019-06-17 |
| 1033611256 | Jacqueline Moore | Registered Nurse | 314 Main St Ste D, Monticello, MS 39654-3702 | 2018-03-03 |
| 1952655466 | Jacqueline Adele Moore | Massage Therapist | 1048 Spinnaker St, Elgin, IL 60123-8587 | 2012-11-06 |
| 1659649002 | Jacqueline Historian Moore | Licensed Practical Nurse | 6256 Hillandale Dr Apt 803, Lithonia, GA 30058-2432 | 2011-12-13 |
| 1619173838 | Jacqueline Diana Moore | Surgery | 2280 Opitz Blvd Ste 110, Woodbridge, VA 22191-3362 | 2007-06-25 |
| 1962059980 | Jacqueline Moore | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2019-08-23 |
| 1336702315 | Jacqueline Moore | Developmental Therapist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2019-04-16 |
| 1598235889 | Jacqueline Marie Moore | Nurse Practitioner | 101 E 8th St Ste 110, Vancouver, WA 98660-3294 | 2018-11-29 |
| 1245705631 | Jacqueline Moore | Peer Specialist | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2018-10-11 |
| Street Address |
800 GARFIELD AVE RM G102 |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26101-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386168391 | Maria Cristina Steriu | Internal Medicine | 800 Garfield Ave Rm G102, Parkersburg, WV 26101 | 2017-08-01 |
| 1265060784 | Eswar Chand Gadde | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2020-03-30 |
| 1902432867 | Saadia Iqbal | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5376 | 2020-03-22 |
| 1679137079 | Anmol Pitliya | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-05-01 |
| 1245893544 | Eric Yi | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-04-22 |
| 1437712734 | Jourdan Hall | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-04-22 |
| 1629631924 | David Collins Garst | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-04-22 |
| 1225593643 | Guru A R Gopireddy | Internal Medicine | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-02-11 |
| 1124514054 | Ethan Westbrook | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2018-07-03 |
| 1255827168 | Morgan Scarpellini | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332682 | Tana Shea | Technician | 1906 Camden Ave, Parkersburg, WV 26101 | 2020-10-08 |
| 1386241776 | Karen Sleeth-harrison | Technician | 149 Rolling Hills Ct, Parkersburg, WV 26101 | 2020-10-08 |
| 1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
| 1699230128 | Sarah Marie Hendrix | Nurse Practitioner | 1013 Garfield Avenue, Parkersburg, WV 26101 | 2019-02-08 |
| 1871085787 | Jeffrey G. Minchau, Dds, Ms, Inc. | Dentist | 2601 Dudley Avenue, Bldg. 1, Parkersburg, WV 26101 | 2018-06-06 |
| 1902324544 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 17 Ronald Regan Drive, Parkersburg, WV 26101 | 2017-09-05 |
| 1033634282 | Caitlin Elizabeth Lanese | Speech-Language Pathologist | 2010 Garfield Ave Ste 2, Parkersburg, WV 26101 | 2017-08-09 |
| 1003342791 | Sue Ellen Kendall | Community Health Worker | 3407 7th Ave, Parkersburg, WV 26101 | 2017-05-02 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| 1013362011 | Kayla N Ware | Pharmacist | 930 Division Street, Parkersburg, WV 26101 | 2016-04-27 |
| Find all providers in zip 26101 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598391591 | Jahanzeb Rafi Shaikh | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave. Rm G102, Parkersburg, WV 26101-5340 | 2020-03-21 |
| 1205462330 | Praveena Madapathi | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G-102, Parkersburg, WV 26101-5376 | 2020-03-20 |
| 1265060784 | Eswar Chand Gadde | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2020-03-30 |
| 1891323630 | Yunus Ahmed | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave., Rm G102, Parkersburg, WV 26101-5340 | 2020-03-28 |
| 1902432867 | Saadia Iqbal | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5376 | 2020-03-22 |
| 1679137079 | Anmol Pitliya | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-05-01 |
| 1245893544 | Eric Yi | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-04-22 |
| 1437712734 | Jourdan Hall | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-04-22 |
| 1629631924 | David Collins Garst | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-04-22 |
| 1124514054 | Ethan Westbrook | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2018-07-03 |
| Find all providers in PARKERSBURG | ||||
| City | PARKERSBURG |
| Zip Code | 26101 |
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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.