JASON WADE MOORE


Address: 5 West Pearce Boulevard, Wentzville, MO 63385
Phone: 6363446572

JASON WADE MOORE (NPI# 1487266011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487266011
Entity Type Individual
Full Name JASON WADE MOORE
Credential CPS
Practice Address 5 West Pearce Boulevard
Wentzville
MO 63385
Mailing Address 312 Pleasant Meadows Drive
Wentzville
MO 63385
Practice Telephone 6363446572
Mailing Telephone 6363446572
Enumeration Date 2020-08-17
Last Update Date 2020-08-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 12611 MO Other Service Providers

Other Providers JASON MOORE

NPI Name Taxonomy Address Enumeration
1629532734 Jason Dewitt Moore Chiropractor 2204 2nd Ave W Ste 102, Williston, ND 58801-3485 2019-01-23
1134602204 Jason Moore Community Health Worker 431 William St, Buffalo, NY 14204-1819 2018-09-13
1215436852 Jason T Moore Hearing Instrument Specialist 1525 Port Clinton Rd Ste D, Fremont, OH 43420-1234 2018-02-09
1235641622 Jason Moore Private Vehicle 5526 Bandera Springs Cir, Riverview, FL 33578-3686 2017-10-25
1588191258 Jason Moore Specialist 522 Ne Thompson St, Portland, OR 97212-3843 2017-05-12
1346772662 Jason Moore Home Health Aide 209a Rocky Run Rd, Fredericksburg, VA 22406-5413 2017-03-28
1154705382 Jason Otis Moore Case Manager/Care Coordinator 500 W. Ave E St., Hope, AR 71801 2015-07-17
1497020721 Jason L Moore Massage Therapist 1920 Springville Rd, Wooster, OH 44691-9729 2012-03-20
1093923864 Jason Ellis Moore Occupational Therapist 35 Edmar Ave, Marietta, OH 45750-7603 2007-05-17
1790826675 Jason Wayne Moore Physical Therapist 2021 Columbus Ave, Washington Court House, OH 43160-9094 2007-02-12

Office Location

Street Address 5 WEST PEARCE BOULEVARD
City WENTZVILLE
State MO
Zip Code 63385

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235730243 Jeffery William Ellis Pharmacist 1571 Wentzville Parkway, Wentzville, MO 63385 2020-11-05
1265906176 Montrice M Haynes Counselor 500 Medical Dr., Central Intake, Wentzville, MO 63385 2019-01-14
1841718459 Linda Duree Counselor 7105 Whisper Creek Dr, Wentzville, MO 63385 2017-09-03
1811349368 Sara Kleinlein Social Worker 500 Medical Drive, Wentzville, MO 63385 2016-07-08
1275980757 Teona Moeller Nurse Practitioner 1598 West Meyer Dr., Wentzville, MO 63385 2016-05-16
1831561273 Jay F. Hauser, Dds, PC Dentist 11 Wentzville Bluffs Drive, Wentzville, MO 63385 2015-10-26
1720402035 Shara Kuehl Speech-Language Pathologist One Campus Drive, Wentzville, MO 63385 2014-02-06
1336480474 Simply Loyal In Home and Transport Services LLC Home Health 152 Enterprise Dr, Wentzille, MO 63385 2013-03-14
1750641338 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 1849 Wentzville Parkway, Wentzville, MO 63385 2012-05-17
1164788030 William Scott Bailey Pharmacist 1883 Wentzville Parkway, 2345, Wentzville, MO 63385 2012-04-05
Find all providers in zip 63385

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770195315 Renewed Hope for Mental Health, LLC Peer Specialist 5 W Pearce Blvd, Wentzville, MO 63385-1415 2020-08-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518564426 Tuesday Florence Peer Specialist 1312 Highland Dr, Rolla, MO 65401-3609 2020-10-04
1053926006 Poetry for Personal Power Peer Specialist 1730 E 63rd St, Suite 300, Kansas City, MO 64110 2020-09-15
1922642438 Christine Marie Forrest Peer Specialist 1106 Marlowe St, Fredericktown, MO 63645-8835 2019-10-29
1326699950 Family Advocacy and Community Training Peer Specialist 800 Friedens Rd Ste 200, Saint Charles, MO 63303-4198 2019-09-25
1073077509 Katherine Anne Walters Peer Specialist 504 E Broadway Ste A, Ashland, MO 65010-9538 2019-01-29
1265958441 Jessica Luedde Peer Specialist 1430 Olive St Fl 6, Saint Louis, MO 63103-2303 2017-08-18
1740718303 Haywood Hughes Peer Specialist 1004 Goetz Blvd Apt 4, Joplin, MO 64801-1470 2017-05-26
1366848855 Rosanna Metcalf Peer Specialist 925 State Highway W, Kennett, MO 63857 2014-11-10
1306198411 Alicia Sutton Peer Specialist 248 Chez Vant Ct, Hazelwood, MO 63042-3542 2012-10-12
1497371975 Kasey Marie Holifield Peer Specialist 925 Highway V V, Kennett, MO 63857-0071 2020-06-22
Find all providers with the same taxonomy

Competitor

Search similar providers

City WENTZVILLE
Zip Code 63385

Improve Information

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Dataset Information

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.

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