ANDREA MARIE MOORE (NPI# 1528330305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528330305 |
| Entity Type | Individual |
| Full Name | ANDREA MARIE MOORE |
| Credential | FNP |
| Practice Address |
2600 Kings Hwy Suite 340 Shreveport LA 71103-3950 |
| Practice Telephone | 3182128620 |
| Practice Fax Number | 3182128625 |
| Mailing Telephone | 3182128620 |
| Mailing Fax Number | 3182128625 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
APRN047672 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147409 | Andrea Moore | Counselor | 428 Dela Vina Ave Apt 212, Monterey, CA 93940-3933 | 2020-06-02 |
| 1356991764 | Andrea Moore | Massage Therapist | 12308 E Broadway Ave Ste 4, Spokane Valley, WA 99216-2920 | 2019-09-17 |
| 1306403571 | Andrea Moore | Speech-Language Pathologist | 905 Ellis Ave, Orangeburg, SC 29115-5062 | 2019-05-23 |
| 1134610496 | Andrea Moore | Physical Therapist | 31555 Southfield Rd, Beverly Hills, MI 48025-5461 | 2018-05-22 |
| 1578010435 | Andrea Moore | Social Worker | 12446 S Loomis St, Calumet Park, IL 60827-5832 | 2016-09-07 |
| 1619399946 | Andrea Moore | Speech-Language Pathologist | 5477 Sweetwater Ln, Bartlett, TN 38135-8244 | 2014-01-06 |
| 1972844678 | Andrea Graham Moore | Speech-Language Pathologist | 901 W Baker Rd, Baytown, TX 77521-2398 | 2013-03-06 |
| 1134408990 | Andrea Christine Moore | Registered Nurse | 25 Warwick St, Auburn, MA 01501-2631 | 2011-08-11 |
| 1730468844 | Andrea Sue Moore | Licensed Practical Nurse | 1669 Moon Rd, Greenfield, OH 45123-8227 | 2011-08-06 |
| 1598087488 | Andrea Bernice Moore | Counselor | 2407 Nw 22nd St Apt C, Lawton, OK 73505-2232 | 2010-02-19 |
| Street Address |
2600 KINGS HWY SUITE 340 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439863 | Michael Leonard Durci | Radiology | 2600 Kings Hwy, Willis Knighton Cancer Center, Shreveport, LA 71103-3950 | 2005-06-28 |
| 1922478304 | Wk Radiation Oncology Services | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2015-09-29 |
| 1932578820 | Amanda Lyn Hayes | Nurse Practitioner | 2600 Kings Hwy, #420, Shreveport, LA 71103-3950 | 2015-09-21 |
| 1659767127 | Sergio Jaramillo | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2015-04-11 |
| 1457615395 | Chiachien Jake Wang | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2012-06-26 |
| 1093006603 | Daniella Phuong-di Dang | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2011-04-29 |
| 1548448442 | Robin Ann Lacour | Obstetrics & Gynecology | 2600 Kings Hwy, Suite 420, Shreveport, LA 71103-3950 | 2008-02-04 |
| 1740493923 | Wk Gynecologic Oncology Clinic | Obstetrics & Gynecology | 2600 Kings Hwy, Suite 420, Shreveport, LA 71103-3950 | 2007-05-07 |
| 1306062625 | Destin R. Black | Obstetrics & Gynecology | 2600 Kings Hwy, Suite 420, Shreveport, LA 71103-3950 | 2007-04-17 |
| 1447475603 | David Bruce Carrington | Pharmacist | 2600 Kings Hwy, Suite 212, Shreveport, LA 71103-3950 | 2007-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710427646 | Emily Marie Riordan | Clinical Nurse Specialist | 314 Blue Fox Cir, Haughton, LA 71037-7707 | 2017-02-25 |
| 1689116964 | Linda Ford | Clinical Nurse Specialist | 11809 Highway 84 W, Jena, LA 71342-3703 | 2016-11-17 |
| 1427414549 | Affinity Health Group, LLC | Clinical Nurse Specialist | 1000 Jonesboro Rd, Beverage Division Plant 70, West Monroe, LA 71292-5925 | 2016-01-05 |
| 1114308731 | Lifespan Care LLC | Clinical Nurse Specialist | 1950 Duralde Hwy, Eunice, LA 70535-2131 | 2015-06-10 |
| 1831513555 | Charlene Jean Borne | Clinical Nurse Specialist | 70377 11th St, Covington, LA 70433-5394 | 2014-02-17 |
| 1891977369 | True Care LLC | Clinical Nurse Specialist | 20959 Anderson Rd, Zachary, LA 70791-7915 | 2007-11-27 |
| 1801494588 | Omni South Healthcare LLC | Clinical Nurse Specialist | 8225 Ymca Plaza Dr, Baton Rouge, LA 70810-0922 | 2020-10-14 |
| 1679922918 | Jennifer Boudreaux | Clinical Nurse Specialist | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2016-06-07 |
| 1487063590 | William Boston | Clinical Nurse Specialist | 12880 Plank Rd, Baker, LA 70714-4909 | 2014-08-04 |
| 1851719652 | Robreka King | Clinical Nurse Specialist | 3401 North Blvd, Suite #200-b, Baton Rouge, LA 70806-3743 | 2014-03-31 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on ANDREA MARIE 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.