MRS. THERESA F MOORE (NPI# 1467549931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467549931 |
Entity Type | Individual |
Full Name | MRS. THERESA F MOORE |
Other Name | MRS. TRACEY F MOORE |
Credential | LPC |
Practice Address |
117a Tradewynd Dr Lynchburg VA 24502-3112 |
Practice Telephone | 4344261770 |
Mailing Telephone | 4344261770 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2014-09-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
0701003209 | VA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | SENTARA | O84926 | 01 |
VA | 004945441 | 05 | |
VA | ANTHEM BLUE SHIELD | 218909 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104224104 | Theresa Moore | Dental Hygienist | 1250 S Parker Rd Ste 102, Denver, CO 80231-2178 | 2014-12-08 |
1376983387 | Theresa Denise Moore | Counselor | 1411 E 65th Pl, 2w, Chicago, IL 60637-4439 | 2013-07-05 |
1477844769 | Theresa Lynn Moore | Licensed Practical Nurse | 7398 Lime Kiln Rd, Wayland, NY 14572-9213 | 2011-04-21 |
1316557960 | Theresa Marie Moore | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-08-07 |
1316561202 | Theresa Lynn Moore | Registered Nurse | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-06-05 |
1497101364 | Theresa Marie Moore | Counselor | 2001 W Orange Grove Rd Ste 604, Tucson, AZ 85704-1141 | 2016-05-10 |
1457732398 | Theresa Marie Moore | Speech-Language Pathologist | 725 American Ave, Waukesha, WI 53188-5031 | 2015-06-16 |
1023368339 | Theresa Moore | Pharmacist | 718 Mills Ave, Greenville, SC 29605 | 2012-09-13 |
1659421741 | Theresa Moore | Nurse Practitioner | 7000 E Belleview Ave Ste 310, Greenwood Village, CO 80111-1628 | 2007-01-11 |
1376621920 | Theresa M. Moore | Hospitalist | 2200 Ofarrell St, San Francisco, CA 94115-3357 | 2006-11-01 |
Street Address |
117A TRADEWYND DR |
City | LYNCHBURG |
State | VA |
Zip Code | 24502-3112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912468117 | David C Martin | Counselor | 117a Tradewynd Dr, Lynchburg, VA 24502-3112 | 2019-03-29 |
1780144543 | Guardian Counseling Center | Counselor | 117a Tradewynd Dr, Lynchburg, VA 24502-3112 | 2019-03-20 |
1659878908 | Beyond Sober LLC | Counselor | 117a Tradewynd Dr, Lynchburg, VA 24502-3112 | 2018-04-11 |
1780132399 | Hattie Dunham | Registered Nurse | 117a Tradewynd Dr, Lynchburg, VA 24502-3112 | 2016-09-13 |
1568708733 | Kenneth Ross Blanchard | Counselor | 117a Tradewynd Dr, Lynchburg, VA 24502-3112 | 2012-12-17 |
1083987796 | Poppy Regina Bilbra-jacobs | Counselor | 117a Tradewynd Dr, Lynchburg, VA 24502-3112 | 2012-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
Find all providers in zip 24502 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598362097 | Erin Ashley Winters | Counselor | 371 Oakdale Cir, Lynchburg, VA 24502-7348 | 2020-10-07 |
1023635612 | Kaitlyn Alise Carney | Counselor | 1610 Graves Mill Rd Unit A, Lynchburg, VA 24502-4329 | 2020-06-29 |
1588206643 | Jennifer Leigh Owen | Counselor | 1621 Enterprise Dr, Lynchburg, VA 24502-5797 | 2019-10-10 |
1184273088 | Alicia Dominque Saunders | Counselor | 25 Lewis Way, Lynchburg, VA 24502-3607 | 2019-09-04 |
1891353835 | Robin Carol Conrad | Counselor | 2600 Memorial Ave Ste 103, Lynchburg, VA 24501-2658 | 2019-06-04 |
1033684899 | Krystal Jade Mattox | Counselor | 1621 Enterprise Dr Ofc 5, Lynchburg, VA 24502-5797 | 2018-10-09 |
1205301116 | Resto Family Services | Counselor | 117a Tradewynd Dr Ste 115a, Lynchburg, VA 24502-3112 | 2018-10-06 |
1538659669 | Taylor Hiers | Counselor | 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 | 2018-05-15 |
1427551514 | Safe Haven Counseling, Inc. | Counselor | 642 Crowell Ln, Lynchburg, VA 24502-5572 | 2018-03-14 |
1376086827 | Michelle Dillan Smith | Counselor | 22174 Timberlake Road, Suite D, Lynchburg, VA 24502 | 2016-11-30 |
Find all providers in LYNCHBURG |
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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.