KENDRA LARISSA MOORE (NPI# 1538526058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538526058 |
| Entity Type | Individual |
| Full Name | KENDRA LARISSA MOORE |
| Credential | NP |
| Practice Address |
1633 Sugar Hill Rd Suite 1 Marion NC 28752-5239 |
| Mailing Address |
Po Box 602373 Charlotte NC 28260-2373 |
| Practice Telephone | 8286593621 |
| Practice Fax Number | 8286595282 |
| Mailing Telephone | 8282131500 |
| Mailing Fax Number | 8286516570 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5008316 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
5008316 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 189 Hospital Dr, Spruce Pine, NC 287773035 | 8287663555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184189235 | Kendra Danielle Moore | Social Worker | 22001 Fairmount Blvd, Cleveland, OH 44118-4819 | 2019-02-04 |
| 1346690583 | Kendra Moore | Physician Assistant | 350 Boulevard, Passaic, NJ 07055-2840 | 2016-06-19 |
| 1033573001 | Kendra Ann Moore | Internal Medicine | 505 Parnassus Ave, Room 987, San Francisco, CA 94143-2204 | 2016-04-06 |
| Street Address |
1633 SUGAR HILL RD SUITE 1 |
| City | MARION |
| State | NC |
| Zip Code | 28752-5239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487615456 | Joseph A Head | Internal Medicine | 1633 Sugar Hill Rd, Suite 1, Marion, NC 28752-5239 | 2006-03-30 |
| 1265908479 | Mh Mission Hospital Mcdowell, Lllp | Nurse Practitioner | 1633 Sugar Hill Rd, Marion, NC 28752-5239 | 2018-10-16 |
| 1568977163 | Kelsi A. Kephart | Occupational Therapist | 1633 Sugar Hill Rd, Marion, NC 28752-5239 | 2017-12-05 |
| 1295122109 | Alisa Katherine Eanes | Obstetrics & Gynecology | 1633 Sugar Hill Rd, Marion, NC 28752-5239 | 2015-04-17 |
| 1427455187 | Mission Hospitals, Inc | Preventive Medicine | 1633 Sugar Hill Rd, Marion, NC 28752-5239 | 2014-11-24 |
| 1619209459 | Margaret Hancock Sullivan | Obstetrics & Gynecology | 1633 Sugar Hill Rd, Marion, NC 28752-5239 | 2010-02-04 |
| 1740218858 | Katherine Ann Reese | Obstetrics & Gynecology | 1633 Sugar Hill Rd, Marion, NC 28752-5239 | 2006-06-29 |
| 1417996331 | Paul Andrew Midkiff | Family Medicine | 1633 Sugar Hill Rd, Marion, NC 40852 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758810 | Teresa Gay Schism | Technician | 1756 Toms Creek Road, Marion, NC 28752 | 2019-09-04 |
| 1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
| 1780127548 | Invitation Therapy | Clinic/Center | 364 Us 70 W Ste 3, Marion, NC 28752 | 2016-11-28 |
| 1508311580 | Young Men Christian Association of Western North Carolina | Health Educator | 348 Grace Corpening Drive, Marion, NC 28752 | 2016-08-19 |
| 1417384322 | Cancer Care of Wnc, Pa | Internal Medicine | 430 Rankin Drive, Marion, NC 28752 | 2013-10-09 |
| 1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
| 1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
| 1134367345 | Duramed Equipment LLC | Durable Medical Equipment & Medical Supplies | 2024 Nix Creek Rd, Ste B, Marion, NC 28752 | 2009-01-26 |
| 1326294695 | Mcdowell Hospital | Obstetrics & Gynecology | 1633 Sugar Hill Road, Suite 1, Marion, NC 28752 | 2008-08-18 |
| 1114173382 | Adrienne Stearns Goodfred | Physical Therapist | 44 Pine Top Drive, Marion, NC 28752 | 2008-08-07 |
| Find all providers in zip 28752 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1669962098 | Brittani Danelle Atwood | Nurse Practitioner | 990 S. Prospect Street, Suite 2, Marion, OH 43302-6283 | 2018-05-10 |
| 1538658521 | Schinitra Ti'onette Swinney | Nurse Practitioner | 1328 N. Main Street, Marion, SC 29571 | 2018-05-04 |
| 1972016327 | Kaelen Nothnagel | Nurse Practitioner | 1000 Mckinley Park Dr Ste Mri, Marion, OH 43302-6399 | 2017-11-08 |
| 1851824767 | Shaketia Barnes | Nurse Practitioner | 717 Lena Dr, Marion, AR 72364-9002 | 2017-04-07 |
| 1487995858 | Melissa Ann Wood-heller | Nurse Practitioner | 1103 N Baldwin Avenue, Marion, IN 46952-2600 | 2013-03-11 |
| 1790042455 | Courtney Paden Morris Gardner | Nurse Practitioner | 387 Us 70 W Ste 1, Marion, NC 28752-6202 | 2012-04-19 |
| 1770862450 | Rush Care, Inc. | Nurse Practitioner | 5334 Dale Drive, Marion, MS 39342 | 2011-08-11 |
| 1134438286 | Lisa M Wallace | Nurse Practitioner | 831 N Theatre Drive, Marion, IN 46952-1701 | 2010-10-06 |
| 1871669275 | Deanna Leah Maclaren | Nurse Practitioner | 6212 Hwy 221 South, Marion, NC 28752 | 2006-11-28 |
| Find all providers in MARION | ||||
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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.