NICHOLAS LAWRENCE MOORE (NPI# 1396372868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396372868 |
| Entity Type | Individual |
| Full Name | NICHOLAS LAWRENCE MOORE |
| Credential | MD |
| Practice Address |
111 Colchester Ave Burlington VT 05401-1473 |
| Mailing Address |
201 S 25th St Apt 517 Philadelphia PA 19103-6007 |
| Practice Telephone | 8028472345 |
| Mailing Telephone | 9172096701 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042691 | Nicholas Antonio Moore | Pharmacist | 604 Cherry Dr, Fairview Heights, IL 62208-2846 | 2020-07-31 |
| 1073017679 | Nicholas M Moore | Spec/Tech, Pathology | 1653 W Congress Pkwy Ste 1173, Chicago, IL 60612-3833 | 2018-03-20 |
| 1265727556 | Nicholas Jay Moore | Family Medicine | 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 | 2011-06-14 |
| 1417905092 | Nicholas J.e. Moore | Radiology | 1390 Kelly Johnson Blvd, Colorado Springs, CO 80920-3908 | 2006-05-05 |
| 1093339491 | Nicholas Simms Moore | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5491 | 2020-06-01 |
| 1013550383 | Nicholas Moore | Nurse Anesthetist, Certified Registered | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2019-10-19 |
| 1336795509 | Nicholas M Moore | Psychologist | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2019-08-14 |
| 1225695703 | Nicholas Jay Moore | Dentist | 440 E Tampa St, Springfield, MO 65806-1131 | 2019-05-21 |
| 1467017343 | Nicholas Maximilian Moore | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2019-05-06 |
| 1811421258 | Nicholas Moore | Student in an Organized Health Care Education/Training Program | 9333 Park West Blvd, Suite 102, Knoxville, TN 37923-4341 | 2017-04-12 |
| Street Address |
111 COLCHESTER AVE |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-1473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548354 | Richard A. Boothby | Obstetrics & Gynecology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2005-06-16 |
| 1992304513 | Jennifer Smith Henry | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-23 |
| 1922606581 | Jessica Fischer | Dietitian, Registered | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-15 |
| 1922615855 | Emily R Pichler | Psychologist | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-09-24 |
| 1285257618 | Nadia Stefania Fletcher | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-05-20 |
| 1538781380 | Jeffrey Raymond Gonzalez | Pharmacist | 111 Colchester Ave, Mailstop 272ba1, Burlington, VT 05401 | 2020-05-15 |
| 1588292874 | Breshawn Best | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1528696853 | Nektarios Konstantinopoulos | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1457989071 | Siddique Tanzeem Akram | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-30 |
| 1184252124 | Steven Direda II | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496759 | Ivanna Jeniferr Joseph | Student in an Organized Health Care Education/Training Program | 733 Arboretum Way, Burlington, MA 01803-3833 | 2020-08-05 |
| 1437769858 | Moh'd Rasheed Abu-qaoud | Student in an Organized Health Care Education/Training Program | 78 Center St, Burlington, MA 01803-3035 | 2020-08-01 |
| 1437776424 | Adam Bradley Wiggins | Student in an Organized Health Care Education/Training Program | Lahey Clinic 41 Mall Road, Burlington, MA 01805-0001 | 2020-06-25 |
| 1326660465 | Hemali Ashish Patel | Student in an Organized Health Care Education/Training Program | 3 Goodwin Dr, Burlington, MA 01803-1048 | 2020-05-12 |
| 1861012544 | Ohan Manoukian | Student in an Organized Health Care Education/Training Program | 4 Marrett Rd, Burlington, MA 01803-4007 | 2020-04-22 |
| 1437787611 | Karamatullah Danyal | Student in an Organized Health Care Education/Training Program | Karamatullah Danyal (uvmmc), 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-04-01 |
| 1790313120 | Kyna Donohue | Student in an Organized Health Care Education/Training Program | 46 Lafountain St Apt 2, Burlington, VT 05401-4237 | 2020-03-31 |
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1598398752 | Scott Kevin Olehnik | Student in an Organized Health Care Education/Training Program | 89 Beaumont Ave # 368, Burlington, VT 05405-1742 | 2020-02-17 |
| 1407499247 | Amy Packer | Student in an Organized Health Care Education/Training Program | 83 N Willard St, Burlington, VT 05401-3312 | 2019-10-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on NICHOLAS LAWRENCE 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.