MS. KELITA LESHEA MOORE (NPI# 1487149324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487149324 |
Entity Type | Individual |
Full Name | MS. KELITA LESHEA MOORE |
Credential | NURSE |
Practice Address |
1320 N Michigan Ave Saginaw MI 48602 |
Mailing Address |
2912 State St Saginaw MI 48602-3743 |
Practice Telephone | 9894019015 |
Practice Fax Number | 9894019018 |
Mailing Telephone | 9895290027 |
Enumeration Date | 2018-06-23 |
Last Update Date | 2018-07-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 4703096951 | MI | Nursing Service Providers |
Street Address |
1320 N MICHIGAN AVE |
City | SAGINAW |
State | MI |
Zip Code | 48602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205837556 | Lester Eugene Webb | Family Medicine | 1320 N Michigan Ave, Ste 5, Saginaw, MI 48602-4751 | 2005-08-09 |
1346890522 | Alexia Sue Delos Santos | Case Manager/Care Coordinator | 1320 N Michigan Ave, Saginaw, MI 48602-4751 | 2019-09-19 |
1063983807 | Mary Kathleen Martin | Social Worker | 1320 N Michigan Ave, Saginaw, MI 48602-4751 | 2018-12-05 |
1477041846 | Charkyra Brooks | Social Worker | 1320 N Michigan Ave, Saginaw, MI 48602 | 2018-05-01 |
1902322910 | Stephanie L Wajer | Nurse Practitioner | 1320 N Michigan Ave, Saginaw, MI 48602-4751 | 2017-08-22 |
1366970683 | George Terrance Adams Sr. | Case Manager/Care Coordinator | 1320 N Michigan Ave, Saginaw, MI 48602-4751 | 2017-05-31 |
1851835318 | Jeffrey Campagna | Peer Specialist | 1320 N Michigan Ave, Suite 5, Saginaw, MI 48602-4751 | 2016-12-16 |
1215489976 | Briyanna Fairley | Social Worker | 1320 N Michigan Ave, Saginaw, MI 48602-4751 | 2016-10-28 |
1679025332 | Pamela Bryan | Case Manager/Care Coordinator | 1320 N Michigan Ave, Saginaw, MI 48602-4751 | 2016-10-28 |
1699225086 | Christian Luter | Case Manager/Care Coordinator | 1320 N Michigan Ave, Suite 5, Saginaw, MI 48602-4751 | 2016-10-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
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Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: 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 |
---|---|---|---|---|
1578118378 | La'kisha Shantaye Adams | Licensed Practical Nurse | 3492 Creekwood Dr, Saginaw, MI 48601-5601 | 2019-08-08 |
1528620408 | Theodore Estrada | Licensed Practical Nurse | 4285 Indiantown Rd, Saginaw, MI 48601-9627 | 2019-07-01 |
1275195307 | Claudette Young | Licensed Practical Nurse | 4449 Bradford Dr, Saginaw, MI 48603-3006 | 2019-06-28 |
1225698145 | Cindra Lynn Bowman | Licensed Practical Nurse | 4144 Alvin St, Saginaw, MI 48603-3021 | 2019-06-13 |
1366008328 | Veronica Renee Grice | Licensed Practical Nurse | 3139 King Rd, Saginaw, MI 48601-5831 | 2019-05-15 |
1427510569 | Debra An Ullrich | Licensed Practical Nurse | 1027 Malzahn St, Saginaw, MI 48602-2937 | 2019-04-05 |
1952863433 | Priscilla J Rockett | Licensed Practical Nurse | 2703 Julius St, Saginaw, MI 48601-3835 | 2019-04-03 |
1760943526 | Rochelle Klim | Licensed Practical Nurse | 2680 S Center Rd, Saginaw, MI 48609-7011 | 2019-03-26 |
1568921815 | Courtney Parasiliti | Licensed Practical Nurse | 1 Five Oaks Dr, Saginaw, MI 48638-5906 | 2019-03-17 |
1073072799 | Laura Marie Schwartz | Licensed Practical Nurse | 2630 Starlite Dr, Saginaw, MI 48603-2544 | 2019-03-13 |
Find all providers in SAGINAW |
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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.