MELISSA MOORE (NPI# 1447866082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447866082 |
| Entity Type | Individual |
| Full Name | MELISSA MOORE |
| Credential | RN |
| Practice Address |
2912 Lake Hollow Rd Berthoud CO 80513-8461 |
| Practice Telephone | 9704122395 |
| Mailing Telephone | 9704122395 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
191104 | CO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782669 | Melissa S Moore | Counselor | 882 Plantation Way Ste C, Montgomery, AL 36117-2217 | 2020-05-23 |
| 1215577846 | Melissa Catherine Moore | Massage Therapist | 1789 Andrews Ave, Ozark, AL 36360-3733 | 2020-01-11 |
| 1114499423 | Melissa Moore | Physical Medicine & Rehabilitation | 7425 Brandenburg Cir, Sykesville, MD 21784-6682 | 2018-12-27 |
| 1811486202 | Melissa Victoria Moore | Nurse Practitioner | 1025 Division St Ste B, Biloxi, MS 39530-2910 | 2018-05-02 |
| 1528450095 | Melissa Moore | Licensed Practical Nurse | 3393 16th St, Wyandotte, MI 48192-6107 | 2015-02-20 |
| 1730505181 | Melissa Moore | Counselor | 2850 Winslow Ave, Mlc 9700, Cincinnati, OH 45206-1169 | 2014-03-10 |
| 1609131127 | Melissa Moore | Psychologist | 13110 Royal Bell Ct, Houston, TX 77047-2524 | 2012-07-10 |
| 1801191655 | Melissa H Moore | Physical Therapy Assistant | 1110 W Omaha St, Ste. #3, Rapid City, SD 57701-8120 | 2011-01-25 |
| 1568778355 | Melissa Moore | Specialist | 6995 Dorsey Evergreen Rd, Fulton, MS 38843-7743 | 2010-08-31 |
| 1144548884 | Melissa Jo Moore | Obstetrics & Gynecology | 4017 Highway 17 By-pass, Murrells Inlet, SC 29576 | 2010-05-05 |
| Street Address |
2912 LAKE HOLLOW RD |
| City | BERTHOUD |
| State | CO |
| Zip Code | 80513-8461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715547 | Maura Ann Doran Snyder | Registered Nurse | 2912 Lake Hollow Rd, Berthoud, CO 80513-8461 | 2020-09-18 |
| 1134735335 | Northern Colorado Wound and Ostomy Center | Nurse Practitioner | 2912 Lake Hollow Rd, Berthoud, CO 80513-8461 | 2020-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780233163 | Terri Campbell | Technician | 949 North County Road 23e, Berthoud, CO 80513 | 2019-09-09 |
| 1962948604 | Carolyn Hobson | Lactation Consultant, Non-RN | 817 Green Wood Drive, Berthoud, CO 80513 | 2017-01-18 |
| 1588834121 | Executive Physical Therapy, Inc. | Clinic/Center | 247 Mountain Avenue, Berthoud, CO 80513 | 2008-03-11 |
| 1699978403 | Craig P. Farson | Dentist | 646 7 Th Street, Berthoud, CO 80513 | 2007-06-08 |
| 1104973387 | Kelly K. Murtagh | Physical Therapist | 516 Mountain Avenue, Berthoud, CO 80513 | 2007-01-03 |
| 1497815344 | Judi Lynn Ashley | Specialist | 548 Mountain Ave, Berthoud, CO 80513 | 2006-12-11 |
| 1699856054 | Elizabeth Rejeana Kolbe | Counselor | 548 Mountain Avenue, Berthoud, CO 80513 | 2006-10-18 |
| 1619072972 | Berthoud Drug, LLC | Pharmacy | 330 Mountain Ave, Berthoud, CO 80513 | 2006-09-13 |
| 1952322315 | Longmont United Hospital | Clinic/Center | 549 Mountain Avenue, Berthoud, CO 80513 | 2006-07-21 |
| 1851893788 | Kylea Ginger Rickard | Dental Hygienist | 430 Bimson Ave, Berthoud, CO 80513 | 2018-03-07 |
| Find all providers in zip 80513 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715547 | Maura Ann Doran Snyder | Registered Nurse | 2912 Lake Hollow Rd, Berthoud, CO 80513-8461 | 2020-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593611 | Poudre Valley Medical Group, LLC | Registered Nurse | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-09-17 |
| 1447632153 | Debbie Barnes | Registered Nurse | 1719 E 19th Ave, 5b, Denver, CO 80218-1235 | 2015-06-18 |
| 1487996625 | Melissa Shannon Dubois | Registered Nurse | 300 Exempla Cir Ste 360, Lafayette, CO 80026-3395 | 2013-03-26 |
| 1740534809 | Deborah Bernice Smith | Registered Nurse | 10065 E Harvard Ave Ste 400, Denver, CO 80231-5943 | 2012-10-28 |
| 1538462056 | Wound Care Associates Inc | Registered Nurse | 945 Logan Ct, Loveland, CO 80538-3100 | 2010-12-06 |
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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.