TARA LEIGH MOORE (NPI# 1417414293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417414293 |
| Entity Type | Individual |
| Full Name | TARA LEIGH MOORE |
| Credential | FNP |
| Practice Address |
172 Kinsley St Nashua NH 03060-3648 |
| Mailing Address |
C/o St Mary's Health System - Provider Enrollment Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 6035953175 |
| Mailing Telephone | 2077778695 |
| Mailing Fax Number | 2077778800 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 197868 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
079641-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3117943 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Nevins St, Brighton, MA 021353514 | 6177893191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538665609 | Tara Moore | Nurse Practitioner | 10408 N Centerway Dr Ste Cde, Peoria, IL 61615-1234 | 2018-04-05 |
| 1477065860 | Tara Beth Moore | Social Worker | 8610 Graywood Dr, Dallas, TX 75243-7118 | 2017-10-25 |
| 1649795246 | Tara Moore | Counselor | 1968 East 103rd Street, Los Angeles, CA 90002 | 2017-08-04 |
| 1740608884 | Tara L Moore | Obstetrics & Gynecology | 100 Mercy Way Ste 510, Joplin, MO 64804-4524 | 2014-04-05 |
| 1114134848 | Tara Leigh Moore | Speech-Language Pathologist | 19 Summer Breeze Ct, Sterling, VA 20165-5807 | 2007-05-16 |
| 1548351190 | Tara B Moore | Pharmacist | 2021 N Broadway St, Knoxville, TN 37917-5808 | 2006-09-27 |
| 1306452032 | Tara Moore | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2020-09-17 |
| 1285178186 | Tara Moore | Massage Therapist | 7315 212th St Sw Ste 203, Edmonds, WA 98026-7610 | 2016-12-12 |
| 1124571781 | Tara Leigh Moore | Social Worker | 420 28th Ave, Suite 200, Tuscaloosa, AL 35401-1088 | 2016-08-01 |
| 1740653823 | Tara Moore | Physical Therapist | 426 S Alabama St, Indianapolis, IN 46225-3301 | 2015-11-11 |
| Street Address |
172 KINSLEY ST |
| City | NASHUA |
| State | NH |
| Zip Code | 03060-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649271438 | Phillip Joseph Manno | Internal Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2005-08-03 |
| 1821616269 | St Joseph Hospital of Nashua Nh | Psychiatric Unit | 172 Kinsley St, Nashua, NH 03060-3648 | 2020-07-13 |
| 1417595331 | Casey Melissa Campbell | Nurse Practitioner | 172 Kinsley St, Nashua, NH 03060-3648 | 2019-12-11 |
| 1851862759 | Denis Paul Dessureault | Physician Assistant | 172 Kinsley St, Nashua, NH 03060-3648 | 2018-12-17 |
| 1043763352 | Ashley Pearse | Nurse Practitioner | 172 Kinsley St, Nashua, NH 03060-3648 | 2016-08-03 |
| 1750769469 | Kimberly Badessa | Nurse Practitioner | 172 Kinsley St, Nashua, NH 03060-3648 | 2015-05-13 |
| 1649657271 | Tammy Shultz | Nurse Anesthetist, Certified Registered | 172 Kinsley St, Nashua, NH 03060-3648 | 2015-05-04 |
| 1750795845 | Kristen Ann Hirsch Murphy | Physician Assistant | 172 Kinsley St, Nashua, NH 03060-3648 | 2014-06-17 |
| 1003232612 | Emily Diconza | Physician Assistant | 172 Kinsley St, Nashua, NH 03060-3648 | 2014-03-07 |
| 1235573296 | Deepak Reddy Vatti | Emergency Medicine | 172 Kinsley St, Nashua, NH 03060-3648 | 2013-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
| 1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
| 1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
| 1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
| 1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
| Find all providers in zip 03060 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563560 | Virtualnp, LLC | Nurse Practitioner | 11 Melissa Dr, Nashua, NH 03062-3643 | 2020-09-23 |
| 1700410123 | Bryn A. Farrington | Nurse Practitioner | 10 Prospect St Ste 202, Nashua, NH 03060-3922 | 2020-02-25 |
| 1447804539 | Juliana Medrado | Nurse Practitioner | 20 Kessler Farm Dr Apt 699, Nashua, NH 03063-7125 | 2019-07-28 |
| 1972013068 | Kate A Nadeau | Nurse Practitioner | 505 W Hollis St Ste 106, Nashua, NH 03062-1386 | 2017-10-03 |
| 1184091639 | Tonya Watkins | Nurse Practitioner | 280 Main St Ste 431, Nashua, NH 03060-2921 | 2015-08-31 |
| 1508196213 | Stephanie A Ballentine | Nurse Practitioner | 19 Tyler St Ste 301, Nashua, NH 03060-2951 | 2009-12-31 |
| 1619104536 | Brenda Dawn Koessl | Nurse Practitioner | #8 Antelope Lane, Nashua, MT 59248-0106 | 2009-06-18 |
| 1649374166 | Deborah Lynn Gebhardt | Nurse Practitioner | 383 E Dunstable Rd, Nashua, NH 03062-4216 | 2006-09-13 |
| 1477526325 | Geraldine Ann Colburn | Nurse Practitioner | 214 Daniel Webster Hwy, Cvs Minute Clinic, Nashua, NH 03060-5504 | 2006-02-10 |
| 1649243148 | Pamela J Williams | Nurse Practitioner | 29 Northwest Boulevard, Nashua, NH 03063-4068 | 2006-02-07 |
| Find all providers in NASHUA | ||||
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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.