OCTAVIA MOORE (NPI# 1487077608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487077608 |
| Entity Type | Individual |
| Full Name | OCTAVIA MOORE |
| Practice Address |
4998 Derby Rd Dayton OH 45417-6257 |
| Practice Telephone | 9375200224 |
| Mailing Telephone | 9375200224 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | 378445420999 | OH | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164968 | Octavia Moore | Physical Therapy Assistant | 100 Hedrick Dr, Thomasville, NC 27360-6009 | 2020-11-03 |
| 1811360613 | Octavia Moore | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-11-03 |
| 1922369511 | Octavia Moore | Counselor | 608 S Highway 65 82 Ste B, Lake Village, AR 71653-1744 | 2012-05-31 |
| Street Address |
4998 DERBY RD |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-6257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493556 | Jayvahn Dixon I | Nurse's Aide | 309 W Siebenthaler Ave, Dayton, OH 45405-2243 | 2020-10-06 |
| 1629684931 | Tameka Wills | Nurse's Aide | 4804 W Hillcrest Ave, Dayton, OH 45406-1217 | 2020-09-22 |
| 1134734577 | Robin M Koronich | Nurse's Aide | 5771 Durand St, Dayton, OH 45414-3015 | 2020-09-12 |
| 1205461266 | Mary Clark | Nurse's Aide | 229 Elmhurst Rd, Dayton, OH 45417-1420 | 2020-03-10 |
| 1821620014 | Kiesha S. Saunders | Nurse's Aide | 1248 Epworth Ave, Dayton, OH 45410-2614 | 2020-02-06 |
| 1912539198 | Dominique Alexis Payton | Nurse's Aide | 334 Marathon Ave, Dayton, OH 45406-4837 | 2020-02-06 |
| 1316581242 | Michelle Buycks | Nurse's Aide | 66 N Hatfield St, Dayton, OH 45417-1723 | 2019-11-04 |
| 1053965194 | Stacey L Holt | Nurse's Aide | 140 Santa Clara Ave Apt 1, Dayton, OH 45405-3632 | 2019-07-26 |
| 1306303698 | Jasmine Jones | Nurse's Aide | 2417 Neff Rd, Dayton, OH 45414-5024 | 2019-02-22 |
| 1487118410 | Barbara Jean Boykin | Nurse's Aide | 3504 W Hillcrest Ave, Dayton, OH 45406-2613 | 2019-01-23 |
| Find all providers in DAYTON | ||||
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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.