MRS. TIFFANY ANNETTE MOORE (NPI# 1366456048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366456048 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY ANNETTE MOORE |
| Credential | MA |
| Practice Address |
5 W Pearce Blvd Wentzville MO 63385-1415 |
| Mailing Address |
312 Pleasant Meadows Dr Wentzville MO 63385-2672 |
| Practice Telephone | 6363446572 |
| Mailing Telephone | 6363446572 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2003019174 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 343 S Kirkwood Rd, Suite 200, Kirkwood, MO 631226195 | 3142063920 | 3142063477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700250495 | Tiffany Moore | Massage Therapist | 2930 E Leffel Ln, Springfield, OH 45505-4540 | 2015-11-18 |
| 1356717946 | Tiffany Moore | Home Health | 233 25th Ct Nw, Center Point, AL 35215-2445 | 2015-08-18 |
| 1467839928 | Tiffany Moore | Private Vehicle | 8400 W Charleston Blvd Apt 208, Las Vegas, NV 89117-9034 | 2015-05-04 |
| 1659508430 | Tiffany Joann Moore | Registered Nurse | Unit 15244 Box 345, Apo, AP 96205-5244 | 2009-06-18 |
| 1891334702 | Tiffany Palertree Moore | Speech-Language Pathologist | 131 Public Square, Bruce, MS 38915 | 2019-12-26 |
| 1346883147 | Tiffany Ann Moore | Counselor | 126 E 2nd St, Chillicothe, OH 45601-2593 | 2019-10-24 |
| 1588128367 | Tiffany Mary Moore | Counselor | 6000 Ramsey Way, Dickson, TN 37055-2198 | 2019-01-26 |
| 1235616533 | Tiffany Moore | Behavior Technician | 1847 S Kihei Rd Ste 104-105, Kihei, HI 96753-7939 | 2018-07-19 |
| 1518453067 | Tiffany M Moore | Community Health Worker | 2490 Lee Blvd Ste 103, Cleveland Hts, OH 44118-1255 | 2018-07-09 |
| 1609360320 | Tiffany Chesare Moore | Dentist | 3030 Lbj Fwy Ste 1400, Dallas, TX 75234-2766 | 2018-06-16 |
| Street Address |
5 W PEARCE BLVD |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195315 | Renewed Hope for Mental Health, LLC | Peer Specialist | 5 W Pearce Blvd, Wentzville, MO 63385-1415 | 2020-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1063027563 | Brittany Anyce Moore | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-09-11 |
| 1558987016 | Kristen Leigh Wurth | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-06-22 |
| 1134769664 | Joshua Ronald Dunn | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2020-01-13 |
| 1679110910 | Melanie R Davis | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-12-05 |
| 1124661962 | Jacqueline Nicole Newkirk Mattingly | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-10-24 |
| 1710520846 | Melody R Corbin | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-10-22 |
| 1528601838 | Kathleen Veys | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-10-21 |
| 1780231845 | Tonya S Bucher | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-08-23 |
| 1902452295 | Catherine Mary Jones | Counselor | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2019-08-13 |
| Find all providers in WENTZVILLE | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
Please comment or provide details below to improve the information on MRS. TIFFANY ANNETTE 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.