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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 12611 | MO | Other Service Providers |
| 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 |
| Street Address |
5 WEST PEARCE BOULEVARD |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385 |
| 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 Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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] |
| 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 |
| 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 | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
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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.