COURTNEY RENEE MOORE


Address: 26520 Cactus Ave, Moreno Valley, CA 92555-3927
Phone: 9106195433

COURTNEY RENEE MOORE (NPI# 1346706561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346706561
Entity Type Individual
Full Name COURTNEY RENEE MOORE
Credential AGACNP-BC
Practice Address 26520 Cactus Ave
Moreno Valley
CA 92555-3927
Mailing Address 1104 9th St Unit B
Durham
NC 27705-3502
Practice Telephone 9106195433
Mailing Telephone 9106195433
Enumeration Date 2019-02-12
Last Update Date 2019-02-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 95010892 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers COURTNEY MOORE

NPI Name Taxonomy Address Enumeration
1952832677 Courtney Moore Behavior Technician 1675 Sw Marlow Ave Ste 204, Portland, OR 97225-5102 2017-03-23
1306290333 Courtney Michelle Moore Student in an Organized Health Care Education/Training Program 3852 W 370 Rd, Adair, OK 74330-2792 2016-04-15
1639543887 Courtney King Moore Counselor 650 Henderson Dr Ste 432, Cartersville, GA 30120-3760 2015-11-25
1154734812 Courtney Magdalene Moore Internal Medicine 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 2014-06-10
1093068306 Courtney Rose Moore Behavioral Analyst 14131 Midway Rd Ste 800, Addison, TX 75001-3627 2012-10-24
1538499157 Courtney Keese Moore Acupuncturist 605 Chenery Street, Suite C, San Francisco, CA 94131-2956 2010-01-04
1316194053 Courtney Savannah Moore Counselor 45 Olguin Rd, Jarales, NM 87023-9703 2008-08-25
1205030004 Courtney Claude Moore Pharmacist 1864 Union St, Clearwater, FL 33763-2246 2007-06-14
1962548925 Courtney Joseph Moore Physical Therapist 2251 Country Club Lane, Selma, CA 93662 2007-01-29
1043810922 Courtney Moore Pharmacist 262 Cordele Rd, Albany, GA 31705-2407 2020-10-29

Office Location

Street Address 26520 CACTUS AVE
City MORENO VALLEY
State CA
Zip Code 92555-3927

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477546414 Menard Barruga Pediatrics 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2005-08-24
1942816392 Sheron Mathew Physician Assistant 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2020-09-21
1669086237 Brittany Noel Speer Physician Assistant 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2020-09-01
1548873110 Garrett Bao Kha Tran Long Student in an Organized Health Care Education/Training Program 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2020-08-25
1639782063 Yinxi Wu Social Worker 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2020-08-25
1124636246 Marie Therese Fonseca Counselor 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2020-07-15
1396363545 Jackson Helms Student in an Organized Health Care Education/Training Program 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2020-07-13
1588282024 Adam Kreutzer Orthopaedic Surgery 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2020-07-10
1861010316 Nicholas Bast Student in an Organized Health Care Education/Training Program 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2020-07-10
1699392449 Xiao Song Student in an Organized Health Care Education/Training Program 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2020-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043817935 Jillian Mika Ogata Social Worker Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 2020-10-05
1114549144 Providence Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 11165 Bonnie View Ave, Moreno Valley, CA 92555 2020-05-13
1720645096 Shahida Nawaz Non-emergency Medical Transport (VAN) 26528 Primrose Way, Moreno Valley, CA 92555 2019-05-22
1679139828 Moses Lee Student in an Organized Health Care Education/Training Program Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 2019-05-14
1215419668 Johannes Wattimena Counselor 26624 Saffron Circle, Moreno Valley, CA 92555 2018-09-02
1437676939 Aleksandra Vargas Behavioral Analyst 12549 Atherton Dr, Moreno Valley, CA 92555 2017-08-25
1063938603 Anthony I Odimegwu Nurse Practitioner 26062 Bercaw Ct, Moreno Valley, CA 92555 2017-08-16
1073036703 Karen Parker Licensed Psychiatric Technician 12944 Dolomite Lane, Moreno Valley, CA 92555 2017-07-25
1861923674 Elena Vizcaino Behavior Technician 15670 Turnberry St, Moreno Valley, CA 92555 2017-03-23
1154744522 Nancy Chivichon Dietitian, Registered 28648 Avenue Ave., Moreno Valley, CA 92555 2014-01-21
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902417124 Fely Embrado Nurse Practitioner 12632 Magnolia Dr, Moreno Valley, CA 92555-3513 2020-08-11
1528695558 Erin Sullivan Nurse Practitioner 25620 Cactus Ave, Moreno Valley, CA 92555-9255 2020-03-27
1255872719 Sibonisiwe Moyo Johnson Nurse Practitioner 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 2017-03-16
1730571209 Cecelia Patrician Cartman Seals Nurse Practitioner 26590 Kalmia Ave, Moreno Valley, CA 92555-1760 2015-02-20
1457770836 Uchenna G Orji Nurse Practitioner 24853 Alessandro Blvd, #4, Moreno Valley, CA 92553-6102 2014-04-14
1699842435 Betty A Stevens Nurse Practitioner 12416 Prairie Wind Trl, Moreno Valley, CA 92555-5405 2006-11-29
1457969032 Heain Aung Nurse Practitioner 26520 Cactus Ave Ste A2006, Moreno Valley, CA 92555-3927 2020-07-20
1033773379 Holly Vanderhyde Nurse Practitioner 12364 Perris Blvd, Moreno Valley, CA 92557-7423 2019-04-23
1639633084 Ian William Kirby Nurse Practitioner 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 2019-01-29
1932671567 Sherri Grace Myung Nurse Practitioner 14114 Business Center Dr Ste D, Moreno Valley, CA 92553-9113 2018-12-20
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Competitor

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City MORENO VALLEY
Zip Code 92555

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Dataset Information

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.

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