MS. CRYSTAL WADE MOORE (NPI# 1386273753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386273753 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL WADE MOORE |
| Credential | FNP-C |
| Practice Address |
3940 Lowery Ln Rocky Face GA 30740-9756 |
| Practice Telephone | 7062645814 |
| Mailing Telephone | 7062645814 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
222790 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1033617675 | Crystal Chantel Moore | Licensed Practical Nurse | 2260 Par Ln, H 911, Willoughby Hills, OH 44094-2966 | 2018-01-29 |
| 1477084614 | Crystal Baxley Moore | Specialist | 105 East Broad St, Elizabethtown, NC 28337 | 2017-03-21 |
| 1063849586 | Crystal Lynn Moore | Pharmacist | 700 Merrywood Ln, Star City, AR 71667-5606 | 2013-09-29 |
| 1639411309 | Crystal Moore | Social Worker | 9 Roux 61 Dr Ste C, Natchez, MS 39120-2176 | 2013-03-20 |
| 1790319176 | Crystal Moore | Social Worker | 625 W Elm Ave, Hanover, PA 17331-5125 | 2020-02-25 |
| 1689235954 | Crystal Colleen Moore | Dental Hygienist | 2111 Champa St, Denver, CO 80205-2529 | 2019-06-26 |
| 1336704881 | Crystal A Moore | Counselor | 812 S Walnut St, Spokane, WA 99204-3326 | 2019-05-09 |
| 1821572330 | Crystal Moore | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2018-09-20 |
| 1356887657 | Crystal Moore | Social Worker | 5 Court St Ste 42, Norwich, NY 13815-1695 | 2017-01-10 |
| Street Address |
3940 LOWERY LN |
| City | ROCKY FACE |
| State | GA |
| Zip Code | 30740-9756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548372725 | Home Health Care Rentals Inc | Durable Medical Equipment & Medical Supplies | 1213 Broadrick Drive, Dalton, GA 30740 | 2006-08-31 |
| 1740533702 | Highland Rivers Community Service Board | Community/Behavioral Health | 2050 Old Morris Rd, Rocky Face, GA 30740-6725 | 2012-10-16 |
| 1013073386 | Weaver Rocky Face Pharmacy P C | Durable Medical Equipment & Medical Supplies | 2600 Old Chattanooga Rd, Rocky Face, GA 30740-8511 | 2006-12-29 |
| 1942798012 | Weavers Rocky Face Pharmacy Group Inc | Pharmacy | 2600 Old Chattanooga Rd, Rocky Face, GA 30740-8511 | 2018-04-24 |
| 1760530133 | Roddy Paul Ingraham | Pediatrics | 2971 Hurricane Rd, Rocky Face, GA 30740-8716 | 2007-01-08 |
| 1578782918 | Mill Creek Center P.C. | Pediatrics | 2971 Hurricane Rd, Rocky Face, GA 30740-8716 | 2007-04-24 |
| 1386281806 | Deborah Lynn Rayner | Nurse Practitioner | 1107 Grant Way, Rocky Face, GA 30740-8824 | 2019-12-03 |
| 1902096639 | Dalton Onsite Care, LLC | Physician Assistant | 2613 Valley View Dr, Rocky Face, GA 30740-8908 | 2007-07-30 |
| 1669513610 | Diane Ryland | Registered Nurse | 2624 Oak Ridge Dr, Rocky Face, GA 30740-9071 | 2007-02-12 |
| 1275669491 | Joseph Richard Mitchell | Specialist/Technologist, Other | 2631 Rocky Dr, Rocky Face, GA 30740-9095 | 2007-02-23 |
| Find all providers in zip 30740 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281806 | Deborah Lynn Rayner | Nurse Practitioner | 1107 Grant Way, Rocky Face, GA 30740-8824 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY FACE |
| Zip Code | 30740 |
Please comment or provide details below to improve the information on MS. CRYSTAL WADE 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.