TRACY C. MOORE


Address: 830 S Limestone Street, Lexington, KY 40536-2477
Phone: 8592183247

TRACY C. MOORE (NPI# 1417188558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417188558
Entity Type Individual
Full Name TRACY C. MOORE
Other Name TRACY A. CAVANAUGH
Credential APRN
Practice Address 830 S Limestone Street
Lexington
KY 40536-2477
Mailing Address 830 S Limestone Street
Lexington
KY 40536-0001
Practice Telephone 8592183247
Practice Fax Number 8592572625
Mailing Telephone 8592183206
Mailing Fax Number 8592572625
Enumeration Date 2009-08-06
Last Update Date 2018-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 1066578 KY Nursing Service Providers
N 363L00000X Nurse Practitioner 3006134 KY Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
3006134 KY Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9370360 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL RN/ARNP LICENSE ARNP9370360 01
KY RN LICENSE NUMBER 1066578 01
KY 7100087960 05

Other Providers TRACY MOORE

NPI Name Taxonomy Address Enumeration
1598130395 Tracy Moore Licensed Practical Nurse 2 Laura Ln, Otisville, NY 10963-2316 2015-12-04
1154536134 Tracy Lenore Moore Licensed Practical Nurse 1046 Lakegrove Ct, Westerville, OH 43081-1958 2007-05-11
1497388417 Tracy Moore Physical Medicine & Rehabilitation 1335 Cypress St Ste 100, San Dimas, CA 91773-3538 2020-02-18
1538711510 Tracy Moore Behavior Technician 9480 Three Rivers Rd, Gulfport, MS 39503-4248 2019-07-10
1982143152 Tracy Leigh Moore Case Manager/Care Coordinator 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2017-02-21
1144684358 Tracy Moore Technician 419 N Broadway, Locust Grove, OK 74352-5020 2016-04-13
1588024483 Tracy Moore Dietitian, Registered 3220 Providence Dr, Suite E3-030, Anchorage, AK 99508-4679 2016-03-04
1457743221 Tracy Moore Social Worker 654 Ne 9th Pl, Homestead, FL 33030-4934 2015-03-03
1558614677 Tracy J Moore Counselor 5500 Executive Center Dr, Charlotte, NC 28212-8856 2012-10-26
1861716649 Tracy Moore Physical Therapist 40 N Main St, Bellingham, MA 02019-1590 2010-03-23

Office Location

Street Address 830 S LIMESTONE STREET
City LEXINGTON
State KY
Zip Code 40536-2477

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740217157 Mohammad Abdul Motalib Internal Medicine 830 S Limestone Street, Lexington, KY 40536-2389 2006-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790394583 Mary Luz Calderon Physician Assistant Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 2020-07-28
1598389421 Storm Bryant Dutton Physician Assistant Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 2020-06-06
1720601545 Tyler Allen Pape Physician Assistant Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 2020-05-27
1417579269 Kacy Clinkenbeard Physician Assistant Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 2020-05-15
1023578804 William Chalmers Ruffin Student in an Organized Health Care Education/Training Program 740 South Limestone St. E300e, Lexington, KY 40536 2019-03-20
1942705728 Karah Lee Ellen Brown Dentist 800 Rose Street, Room D-508, Lexington, KY 40536 2018-03-26
1982109708 Khader Samir Habash Dentist 740 S Limestone Room A262, Lexington, KY 40536 2018-03-25
1609370683 Casey Michael Fitzgerald Otolaryngology 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 2018-03-22
1538663992 Heather Oaks Nurse Practitioner Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 2018-03-21
1396268223 Prasanna Kumar Gangishetti Pediatrics 800 Rose St Rm No Mn-118, Lexington, KY 40536 2017-07-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184225161 Christina Chan Sok Nurse Practitioner 24 Hartwell Ave # 204, Lexington, MA 02421-3132 2020-11-05
1871194381 Stacie Rose Nurse Practitioner 131 Hartwell Ave, Lexington, MA 02421-3105 2020-11-03
1952900870 Sarah Elizabeth Clark Nurse Practitioner 1309 Morning Side Ct, Lexington, KY 40509-2353 2020-10-21
1629677745 Lisa Elaine Coleman Nurse Practitioner 2241 Gulfstream Dr, Lexington, KY 40504-3273 2020-10-20
1578161303 Mariem Kader Nurse Practitioner 3622 White Pine Dr, Lexington, KY 40514-1740 2020-10-14
1023616125 Kimberly Dawn Calloway Nurse Practitioner 5306 E Blocher Rd, Lexington, IN 47138-8803 2020-10-12
1649878992 Margaret Bunch Nurse Practitioner 171 W Lowry Ln Ste 132, Lexington, KY 40503-3006 2020-10-09
1831701572 Jillian Leigh Butcher Nurse Practitioner 2917 Mahala Ln, Lexington, KY 40509-8555 2020-08-22
1033721154 Heart Rescue Cpr LLC Nurse Practitioner 501 Darby Creek Rd Ste 18, Lexington, KY 40509-1606 2020-08-19
1619588241 Jordyn L Bush Nurse Practitioner 124 Clay Ave, Lexington, KY 40502-1702 2020-08-17
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Competitor

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City LEXINGTON
Zip Code 40536

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Dataset Information

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.

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