MRS. SARA JANE MOORE (NPI# 1487204558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487204558 |
| Entity Type | Individual |
| Full Name | MRS. SARA JANE MOORE |
| Credential | AGACNP |
| Practice Address |
200 Jefferson Ave Se Grand Rapids MI 49503-4502 |
| Mailing Address |
Po Box 5329 Saginaw MI 48603-0329 |
| Practice Telephone | 6169141693 |
| Mailing Telephone | 6163646700 |
| Mailing Fax Number | 9894014235 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704265117 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538309299 | Sara D Moore | Social Worker | 46 Sequoia Dr., Rochester, NY 14624-4523 | 2009-02-20 |
| 1013084144 | Sara Romansky Moore | Physical Therapist | 104 Maxwell Ave, Greenwood, SC 29646-2641 | 2006-11-30 |
| 1558321596 | Sara Alice Moore | Counselor | 2701 Cottage Way, Suite 19, Sacramento, CA 95825-1225 | 2006-03-24 |
| 1407856636 | Sara E. Moore | Nurse Practitioner | 1935 Medical Distric Drive, Advanced Practice Service, Dallas, TX 75235 | 2005-07-29 |
| 1134736341 | Sara Amalia Moore | Specialist/Technologist | 1 University Plz, Youngstown, OH 44555-3652 | 2020-09-30 |
| 1891323093 | Sara Moore | Psychiatry & Neurology | 3225 Shallowford Rd, Marietta, GA 30062-1266 | 2020-04-01 |
| 1104458868 | Sara Moore | Behavior Technician | 1049 Industrial Blvd, Abilene, TX 79602-8805 | 2020-02-10 |
| 1003450883 | Sara Matilda Moore | Behavior Technician | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 | 2019-11-04 |
| 1326693342 | Sara Garland Moore | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2019-08-06 |
| 1427587179 | Sara D Moore | Nurse Practitioner | 27 Sycamore St Ste 300, Glastonbury, CT 06033-7208 | 2017-06-07 |
| Street Address |
200 JEFFERSON AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929353 | Grand River Emergency Medical Group Plc | Emergency Medicine | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2005-06-01 |
| 1073130449 | Jessica Goldsworthy | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-07-01 |
| 1851918551 | Lacy J Worden | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-06-29 |
| 1669099560 | Kamah Ellena | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-06-26 |
| 1629694344 | Yoad Yechiel Porat | Anesthesiology | 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 | 2020-06-18 |
| 1851917587 | Danuka Manupriya Ubayasena | Anesthesiology | 200 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 | 2020-06-18 |
| 1619593530 | Albert Dongzhou Jiao | Radiology | 200 Jefferson Ave Se, Jefferson Suite 360, Grand Rapids, MI 49503 | 2020-06-17 |
| 1548882046 | Rebecca Tourison | Registered Nurse | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-05-07 |
| 1942821079 | Breanne Nicole Ranucci | Physician Assistant | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-04-29 |
| 1750901757 | Nicholas Patrick Callahan | Registered Nurse | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908279 | Pauline U Boy | Nurse Practitioner | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2020-10-09 |
| 1467013425 | Katie Louise Crellin | Nurse Practitioner | 1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546-8383 | 2019-06-21 |
| 1790342509 | Susan R Littler | Nurse Practitioner | 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 | 2019-05-28 |
| 1053976258 | Hope Ann Vivian | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-05-03 |
| 1265940977 | Jayme Boros | Nurse Practitioner | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503-2559 | 2018-01-16 |
| 1184165995 | Amy Marie Read | Nurse Practitioner | 3923 28th St Se, Suite 374, Grand Rapids, MI 49512-1805 | 2017-03-13 |
| 1124406582 | Susan Grace Passavant | Nurse Practitioner | 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 | 2015-05-18 |
| 1255766390 | Leah Marie Tordi | Nurse Practitioner | 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503-2560 | 2013-09-09 |
| 1639511199 | Michelle A. Rewa | Nurse Practitioner | 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 | 2013-07-25 |
| 1639416662 | Sarah Michele Darnell | Nurse Practitioner | 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 | 2013-01-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MRS. SARA JANE MOORE.
| 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.