DENISE MOORE (NPI# 1346705472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346705472 |
| Entity Type | Individual |
| Full Name | DENISE MOORE |
| Practice Address |
4102 Deer Run Rd Crestwood KY 40014-9227 |
| Practice Telephone | 5027580795 |
| Mailing Telephone | 5027580795 |
| Enumeration Date | 2019-02-03 |
| Last Update Date | 2019-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3013070 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144744822 | Denise S Moore | Nurse Practitioner | 6223 66th St N, Pinellas Park, FL 33781-5025 | 2017-08-03 |
| 1619328788 | Denise Moore | Technician, Other | 6237 Ledgeway Dr, West Bloomfield, MI 48322-2446 | 2016-06-29 |
| 1770118721 | Denise Marie Moore | Massage Therapist | 440 Columbia Blvd, Saint Helens, OR 97051-1910 | 2020-03-10 |
| 1801369137 | Denise Moore | Social Worker | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2019-01-09 |
| 1326414756 | Denise Marie Moore | Nurse Practitioner | 8733 Beverly Blvd, Suite 408, West Hollywood, CA 90048-1827 | 2015-08-20 |
| 1639563380 | Denise Michelle Moore | Counselor | 580 Old Route 322, Philipsburg, PA 16866 | 2015-03-20 |
| 1942542691 | Denise Moore | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2013-03-20 |
| 1811240005 | Denise A Moore | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 | 2012-10-25 |
| 1760741912 | Denise Augustine Moore | Counselor | 2626 Charles Dr, Chalmette, LA 70043-3779 | 2012-05-09 |
| 1790098580 | Denise R Moore | Registered Nurse | 3850 S National Ave, 520, Springfield, MO 65807-5287 | 2010-07-21 |
| Street Address |
4102 DEER RUN RD |
| City | CRESTWOOD |
| State | KY |
| Zip Code | 40014-9227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720411556 | Meagan L Vowels | Behavioral Analyst | 5895 W. Hwy 146, Crestwood, KY 40014 | 2013-08-15 |
| 1003157538 | Craig L Satterley | Physical Therapist | 6003 Pleasant Colony Ct Ste 3, Crestwood, KY 40014 | 2013-03-07 |
| 1871868802 | Wallace Lyle Past Sr. | General Practice | 4608 Heritage Manor, Crestwood, KY 40014 | 2012-03-08 |
| 1609153725 | Patricia Ann Gray | Behavioral Analyst | 5895 W Highway 146, Crestwood, KY 40014 | 2011-11-03 |
| 1528374253 | Laura R Carroll | Dentist | 6344 W. Hwy 146 Ste 100, Crestwood, KY 40014 | 2010-08-18 |
| 1699922849 | Mortenson Family Dental Center | Clinic/Center | 6408 W Hwy 146, Crestwood, KY 40014 | 2008-08-19 |
| 1760658546 | Kathy J. Pansegrau, Dc, Psc | Chiropractor | 6402 Westwind Way, Suite 5, Crestwood, KY 40014 | 2008-05-01 |
| 1952584054 | Alyssa Ann Dykgraaf | Dentist | 5805 Whwy 22, Ste 100, Crestwood, KY 40014 | 2007-12-11 |
| 1780881649 | Gwinn A. K. Vonnahme | Dentist | 5998 Pleasant Colony Ct. Suite 23, Crestwood, KY 40014 | 2007-07-02 |
| 1326250960 | Sue B Feeley | Dentist | 6225 W Hwy 146, Crestwood, KY 40014 | 2007-05-04 |
| Find all providers in zip 40014 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709946 | Kimario Orlandovelt Murray | Nurse Practitioner | 14033 Laramie Ave Apt 420, Crestwood, IL 60418-1671 | 2020-10-28 |
| 1679058804 | Grace Primary Care Pllc | Nurse Practitioner | 6520 W Highway 22, Crestwood, KY 40014 | 2018-10-03 |
| 1306332697 | Kristine Asuncion | Nurse Practitioner | 13755 Cicero Ave, Crestwood, IL 60418-1824 | 2018-07-10 |
| 1750803490 | Joseph Cadayona | Nurse Practitioner | 13755 Cicero Ave, Crestwood, IL 60418-1824 | 2017-07-14 |
| 1386990356 | Amy Nicole Head | Nurse Practitioner | 6580 Kenwood Crossing Rd, Crestwood, KY 40014-7614 | 2012-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| 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.