LYNETTE M MOORE (NPI# 1457369688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457369688 |
| Entity Type | Individual |
| Full Name | LYNETTE M MOORE |
| Credential | NP |
| Practice Address |
8745 County Road 9 S Alamosa CO 81101-9610 |
| Mailing Address |
715 Horizon Dr Ste 225 Grand Junction CO 81506-8700 |
| Practice Telephone | 7195893671 |
| Mailing Telephone | 9706837107 |
| Mailing Fax Number | 9706837167 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 119121 | CO | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2575 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 515 28 3/4 Rd, Grand Junction, CO 815015016 | 9702634918 | 9706837278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700377959 | Lynette Moore | Behavioral Analyst | 5800 S Highland Dr, Holladay, UT 84121-1359 | 2018-05-23 |
| Street Address |
8745 COUNTY ROAD 9 S |
| City | ALAMOSA |
| State | CO |
| Zip Code | 81101-9610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063406999 | San Luis Valley Community Mental Health Center | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2005-09-07 |
| 1356955637 | San Luis Valley Community Mental Health Center | Clinic/Center | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2020-09-03 |
| 1225647712 | Matthew Richard Harris | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2020-07-30 |
| 1811517733 | Desiree Kamilah Sierra | Licensed Practical Nurse | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2020-04-21 |
| 1235774324 | Robyn M Hindes | Licensed Practical Nurse | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2019-11-12 |
| 1790258622 | Frances Mestas | Licensed Practical Nurse | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2019-01-03 |
| 1053889246 | Jessica Elizabeth Chacon | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-11-06 |
| 1912472218 | Marie B Duran | Licensed Practical Nurse | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-10-12 |
| 1760957062 | Ellyn Tia Pleiman | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-10-12 |
| 1104391408 | Raquel M Rhoads | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909325 | Tiffanie Nicole Hoover | Nurse Practitioner | Slv Health, 106 Blanca Ave, Alamosa, CO 81101 | 2018-04-11 |
| 1629503669 | Early Oral Health Interception LLC | Dental Hygienist | 235 Carson Avenue, Alamosa, CO 81101 | 2017-04-27 |
| 1477917391 | Mary Sawyer | Nurse Practitioner | San Luis Valley Health106 Blanca Ave, Alamosa, CO 81101 | 2016-04-06 |
| 1508221276 | Kendal W Humes | Counselor | 1460 W 8th Street, Unit 13, Alamosa, CO 81101 | 2015-12-23 |
| 1689096422 | Julia Toczek | Counselor | 8745 County Road 9s, Alamosa, CO 81101 | 2014-01-14 |
| 1275883365 | Michelle Marie Craver | Counselor | 8745 County Road 9 South, Alamosa, CO 81101 | 2012-09-15 |
| 1417193079 | Slv Eye Docs, LLC | Optometrist | 706 Del Sol Dr, Alamosa, CO 81101 | 2008-12-31 |
| 1770753154 | Huh Inc | Hearing Instrument Specialist | 2101 Main St., Ste C Ears 2 U Hearing Aid Services, Alamosa, CO 81101 | 2008-03-03 |
| 1215139613 | Valley-wide Health System, Inc. | Pharmacist | 1710 1st Street, Alamosa, CO 81101 | 2007-06-05 |
| 1821204116 | Valerie Stephanie Gurule-duran | Counselor | 8745 Cr 9 South, Alamosa, CO 81101 | 2007-05-15 |
| Find all providers in zip 81101 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568983930 | Living Proof LLC | Nurse Practitioner | 309 San Juan Ave, Alamosa, CO 81101-2534 | 2017-07-06 |
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|---|---|---|---|---|
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| 1316555386 | Comfort of Your Home Psychiatry | Nurse Practitioner | 175 Hurd Lane, Unit 3212, Avon, CO 81620 | 2020-07-16 |
| 1265040117 | Integrative Psychiatric Services | Nurse Practitioner | 204 Walnut St Ste A, Fort Collins, CO 80524-4439 | 2020-07-16 |
| 1417574815 | Acorn Behavioral Health Services LLC | Nurse Practitioner | 1425 W 29th St, Loveland, CO 80538-2403 | 2020-07-01 |
| 1760009617 | Tiffany Taylor | Nurse Practitioner | 4729 Opus Dr, Colorado Springs, CO 80906-8694 | 2020-06-26 |
| 1578189791 | Bailey Et Al Pllc | Nurse Practitioner | 3005 Anchor Way Apt 1, Fort Collins, CO 80525-4716 | 2020-06-23 |
| 1407471774 | Meditelecare of Colorado LLC | Nurse Practitioner | 1900 W Littleton Blvd, Littleton, CO 80120-2023 | 2020-06-12 |
| 1699399030 | Denmind Psychiatric Solutions Pllc | Nurse Practitioner | 600 17th St Ste 2800, Denver, CO 80202-5428 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
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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.