LAURA FADIL MOORE (NPI# 1386663102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386663102 |
Entity Type | Individual |
Full Name | LAURA FADIL MOORE |
Other Name | LAURA ANN FADIL |
Credential | CNP |
Practice Address |
2390 Main Ave Durango CO 81301-4638 |
Mailing Address |
281 Sawyer Dr Ste 100 Durango CO 81303-3409 |
Practice Telephone | 9702591630 |
Mailing Telephone | 9707692214 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2013-02-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
160465 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 21702781 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538621065 | Laura Moore | Psychologist | 24402 W Lockport St Ste 223, Plainfield, IL 60544-4267 | 2019-04-03 |
1992265565 | Laura Barlow Moore | Student in an Organized Health Care Education/Training Program | 430 Allister Dr Unit 206, Raleigh, NC 27609-7279 | 2019-03-20 |
1881131225 | Laura Moore | Massage Therapist | 445a S Blackstock Rd, Spartanburg, SC 29301-3646 | 2017-01-24 |
1255875738 | Laura O Moore | Registered Nurse | 440 Thomas Rd, Dallas, GA 30132-7703 | 2016-12-19 |
1760837199 | Laura Moore | Physical Therapy Assistant | 75 E 400 N, Rupert, ID 83350-9571 | 2016-05-04 |
1538588181 | Laura Pippitt Moore | Anesthesiology | 1800 Camden Rd Ste 107-259, Charlotte, NC 28203 | 2014-04-10 |
1528405537 | Laura Kathan Moore | Counselor | 11925 Fairlie Pl, Raleigh, NC 27613-7842 | 2013-05-30 |
1467899443 | Laura Moore | Pharmacist | 665 S Mount Juliet Rd, Mount Juliet, TN 37122-6483 | 2013-05-30 |
1588943831 | Laura Ann Moore | Counselor | 103 Banyan Rd, Starkville, MS 39759-4327 | 2011-08-04 |
1679714380 | Laura Josie Moore | Counselor | 313 W Liberty St Ste 222, Lancaster, PA 17603-2766 | 2009-03-11 |
Street Address |
2390 MAIN AVE |
City | DURANGO |
State | CO |
Zip Code | 81301-4638 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578934154 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 2390 Main Ave, Durango, CO 81301-4638 | 2015-10-08 |
1447555735 | Durango School District 9-r | Clinic/Center | 2390 Main Ave, Durango, CO 81301-4638 | 2011-01-18 |
1508085580 | Christie Lea Ilg-salter | Pediatrics | 2390 Main Ave, Durango, CO 81301-4638 | 2007-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
Find all providers in zip 81301 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114538626 | Amy Potter | Nurse Practitioner | 485 Florida Rd Trlr D6, Durango, CO 81301-4765 | 2020-08-10 |
1184164519 | Western Slope Nurse Practitioners | Nurse Practitioner | 1013 County Road 300, Durango, CO 81303-8064 | 2017-03-05 |
1831515055 | Jane Cobb | Nurse Practitioner | 458 E 3rd Ave, Durango, CO 81301-5606 | 2014-03-12 |
1316212566 | April Christina Dobroth | Nurse Practitioner | 270 E 8th Ave Ste 206, Durango, CO 81301-5708 | 2012-03-20 |
1912940057 | Anna Merrie Dixon | Nurse Practitioner | 29423 Highway 160, Durango, CO 81301-7939 | 2006-06-14 |
1982229373 | Taylor Vicory | Nurse Practitioner | 316 Sawyer Dr, Durango, CO 81303-6560 | 2020-06-11 |
1437789658 | Martha Carey Pedersen | Nurse Practitioner | 810 E 3rd St Unit 201, Durango, CO 81301-5759 | 2020-01-16 |
1609417443 | Dominick All-heart Wellness Center | Nurse Practitioner | 1800 E 3rd Ave Ste 112, Durango, CO 81301-5046 | 2019-10-02 |
1407330277 | Shaina Nawrocki | Nurse Practitioner | 1970 E 3rd Ave Ste 1, Durango, CO 81301 | 2018-09-18 |
1528566304 | Patton Family Health | Nurse Practitioner | 150 E 9th St, Suite 202, Durango, CO 81301-5550 | 2018-01-26 |
Find all providers in DURANGO |
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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.