MARIELLEN J. MOORE (NPI# 1356588214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356588214 |
| Entity Type | Individual |
| Full Name | MARIELLEN J. MOORE |
| Credential | PHARM.D., PH.D. |
| Practice Address |
5201 Raymond St Orlando FL 32803-8208 |
| Practice Telephone | 4076291599 |
| Mailing Telephone | 4076291599 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2014-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS42588 | FL | Pharmacy Service Providers |
| Street Address |
5201 RAYMOND ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862517 | Janice Yvonne Walker | Nurse Practitioner | 5201 Raymond St, Teal Team, Orlando, FL 32803-8208 | 2005-06-23 |
| 1861006520 | Shantaye Stephens | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2020-09-01 |
| 1417565490 | Cory Dale Kline | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2020-07-16 |
| 1962010058 | Kathleen Morgan Daly | Physical Therapist | 5201 Raymond St, Orlando, FL 32803-8208 | 2020-07-15 |
| 1881259190 | Charlene Thome | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2019-05-02 |
| 1518459932 | Ashley Newton | Audiologist | 5201 Raymond St, Orlando, FL 32803-8208 | 2018-06-01 |
| 1306344361 | Morgan Paige Wright Rauscher | Counselor | 5201 Raymond St, Orlando, FL 32803-8208 | 2018-01-24 |
| 1982112975 | Johnny Hadnot | Technician/Technologist | 5201 Raymond St, Orlando, FL 32803 | 2018-01-12 |
| 1548774888 | John Blasi IIi | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2017-11-23 |
| 1083135156 | Carolina T Kirton | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851346324 | Karen Ann Slazinski | Pharmacist | Orlando Va Medical Center, 5201 Raymond St, Orlando, FL 32803 | 2006-05-23 |
| 1467445163 | Rosalie Baez-rodriguez | Pharmacist | 502 Sunport Ln, Orlando, FL 32809-8124 | 2005-08-26 |
| 1659817344 | Nista Gracien | Pharmacist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2017-01-18 |
| 1598149668 | James Floyd Robertson | Pharmacist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2015-07-17 |
| 1427346253 | Christy Michelle Austin | Pharmacist | 13800 Veterans Way, Pharmacy (119), Orlando, FL 32827-7401 | 2011-07-14 |
| 1235468661 | Teresa Geide | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2009-12-14 |
| 1518170281 | Shannon A Miller | Pharmacist | 7975 Lake Underhill Rd, Suite 200, Orlando, FL 32822-8202 | 2007-05-08 |
| 1508966870 | Sunita Cindy Jones | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2006-09-25 |
| 1184631806 | Kimberly Ann Reno-ly | Pharmacist | 13800 Veterans Way, Orlando, FL 32827 | 2006-08-02 |
| 1558304378 | Melinda Elaine Micklewright | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2006-06-13 |
| Find all providers in ORLANDO | ||||
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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.