MEREDITH MOORE (NPI# 1538599949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538599949 |
| Entity Type | Individual |
| Full Name | MEREDITH MOORE |
| Credential | LAC |
| Practice Address |
1255 W Baseline Rd Mesa AZ 85202-5820 |
| Practice Telephone | 4802960351 |
| Mailing Telephone | 4802960351 |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LAC-14399 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043679483 | Meredith Moore | Specialist/Technologist | 300 Lynn St, Robesonia, PA 19551-1318 | 2016-02-13 |
| 1003014689 | Meredith Moore | Case Manager/Care Coordinator | 408 Hilton Dr, Lancaster, PA 17603-5706 | 2007-07-05 |
| 1578559415 | Meredith L Moore | Allergy & Immunology | 180 Wingo Way Ste 102, Mount Pleasant, SC 29464-1810 | 2005-09-26 |
| 1639777972 | Meredith Moore | Physician Assistant | 1200 Waters Pl, Bronx, NY 10461-2728 | 2020-10-09 |
| 1639706427 | Meredith Ann Martin Moore | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-03-24 |
| 1457876005 | Meredith Moore | Nurse Anesthetist, Certified Registered | 2157 Main St, Buffalo, NY 14214-2648 | 2017-08-04 |
| 1114316346 | Meredith Moore | Physical Therapist | 2625 Plymouth Rd, Ann Arbor, MI 48105-2468 | 2015-01-12 |
| 1497928451 | Meredith Ann Moore | Audiologist | 975 Franklin Ave, Suite 203b, Garden City, NY 11530-2921 | 2008-04-10 |
| 1871707547 | Meredith A Moore | Registered Nurse | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2007-05-10 |
| 1699787440 | Meredith Anne Moore | Social Worker | 3847 Pine Grove Ave Ste A, Fort Gratiot, MI 48059-4265 | 2006-08-12 |
| Street Address |
1255 W BASELINE RD |
| City | MESA |
| State | AZ |
| Zip Code | 85202-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831128016 | Catherine Sue Bradway | Registered Nurse | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2006-07-01 |
| 1538706635 | Rebecca Robinson | Physical Therapist | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2019-12-08 |
| 1851781173 | Desanne Gonsalves | Physician Assistant | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2015-01-26 |
| 1912329293 | Alyssa Palty | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2014-01-06 |
| 1295168763 | Sheila P Holly | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-08-19 |
| 1063845329 | Audrey Carol Hilmoe | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-08-09 |
| 1568808111 | Annia Salas | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-05-21 |
| 1366793978 | Aurelio Abraham Duarte-encinas | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2012-09-21 |
| 1346597853 | Guadalupe J Holguin | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2012-08-14 |
| 1558618363 | Raquel R. Deluccia | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2012-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496054 | Ryse Therapeutic Counseling LLC | Counselor | 461 W Holmes Ave Unit 181, Mesa, AZ 85210-5181 | 2020-10-27 |
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1467060350 | Torch Wellness and Consulting LLC | Counselor | 3707 E Southern Ave Ste 1029, Mesa, AZ 85206-6202 | 2020-07-16 |
| 1750904736 | Colin Bennett | Counselor | 1234 S Power Rd Ste 100, Mesa, AZ 85206-3740 | 2020-05-25 |
| 1386267508 | Devyn H Davis | Counselor | 30 E Brown Rd Unit 1054, Mesa, AZ 85201-3527 | 2020-05-21 |
| 1376165266 | Therapy LLC | Counselor | 1818 E Southern Ave Ste 3a, Mesa, AZ 85204-5247 | 2020-05-13 |
| 1902432107 | Connie Rae Parker | Counselor | 1955 S Val Vista Dr, Mesa, AZ 85204-7370 | 2020-03-19 |
| 1265065544 | Phillip Micheal Garrison | Counselor | 1741 S Clearview Ave Unit 7, Mesa, AZ 85209-4005 | 2020-02-14 |
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1053951913 | Candace Delight Cook | Counselor | 3707 E Southern Ave Ste 2016, Mesa, AZ 85206-6213 | 2020-01-08 |
| Find all providers in MESA | ||||
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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.