TARA MOORE


Address: 10408 N Centerway Dr Ste Cde, Peoria, IL 61615-1234
Phone: 3093085100

TARA MOORE (NPI# 1538665609) 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) 1538665609
Entity Type Individual
Full Name TARA MOORE
Credential APN
Practice Address 10408 N Centerway Dr Ste Cde
Peoria
IL 61615-1234
Practice Telephone 3093085100
Practice Fax Number 3093085101
Mailing Telephone 3093085100
Mailing Fax Number 3093085101
Enumeration Date 2018-04-05
Last Update Date 2019-03-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209017428 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers TARA MOORE

NPI Name Taxonomy Address Enumeration
1477065860 Tara Beth Moore Social Worker 8610 Graywood Dr, Dallas, TX 75243-7118 2017-10-25
1649795246 Tara Moore Counselor 1968 East 103rd Street, Los Angeles, CA 90002 2017-08-04
1740608884 Tara L Moore Obstetrics & Gynecology 100 Mercy Way Ste 510, Joplin, MO 64804-4524 2014-04-05
1114134848 Tara Leigh Moore Speech-Language Pathologist 19 Summer Breeze Ct, Sterling, VA 20165-5807 2007-05-16
1548351190 Tara B Moore Pharmacist 2021 N Broadway St, Knoxville, TN 37917-5808 2006-09-27
1306452032 Tara Moore Speech-Language Pathologist 2644 Riva Rd, Annapolis, MD 21401-7427 2020-09-17
1417414293 Tara Leigh Moore Nurse Practitioner 172 Kinsley St, Nashua, NH 03060-3648 2019-02-27
1285178186 Tara Moore Massage Therapist 7315 212th St Sw Ste 203, Edmonds, WA 98026-7610 2016-12-12
1124571781 Tara Leigh Moore Social Worker 420 28th Ave, Suite 200, Tuscaloosa, AL 35401-1088 2016-08-01
1740653823 Tara Moore Physical Therapist 426 S Alabama St, Indianapolis, IN 46225-3301 2015-11-11

Office Location

Street Address 10408 N CENTERWAY DR STE CDE
City PEORIA
State IL
Zip Code 61615-1234

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396397220 Lindsey Semonski Nurse Practitioner 10408 N Centerway Dr Ste Cde, Peoria, IL 61615-1234 2019-07-11
1982170734 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 10408 N Centerway Dr Ste Cde, Peoria, IL 61615-1234 2018-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124627906 Lance Jay Bucher Occupational Therapist 8600 Il-91, Peoria, IL 61615 2020-10-22
1093327496 Angela Mitchell Speech-Language Pathologist 3903 W Ridgeview Dr, Peoria, IL 61615 2020-08-18
1578110680 Emily E Buenting Audiologist 8600 Il Route 91, Suite 300, Peoria, IL 61615 2019-08-22
1730655572 Sylwia M. Budzik Physician Assistant 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 2018-10-19
1487169207 Heather Hart Registered Nurse 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 2017-12-04
1528586849 Leanne Runyon Speech-Language Pathologist 10723 Collett Dr., Peoria, IL 61615 2017-09-07
1467974196 Elizabeth A Mcleod Nurse Practitioner 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 2017-07-14
1790223022 Janet Warner Counselor 8914 North Prarie Court, Peoria, IL 61615 2017-02-07
1437524022 Brooke Bisping Dietitian, Registered 7610 North Orange Prairie Road, Peoria, IL 61615 2015-12-08
1003292111 Crystal Ann Casper Dietitian, Registered 7610 N Orange Prarie Road, Peoria, IL 61615 2015-07-31
Find all providers in zip 61615

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962034215 Lia Doh Nurse Practitioner 8357 W Rosewood Ln, Peoria, AZ 85383-3869 2020-02-05
1285274027 Chauntel M Nessmith Nurse Practitioner 7540 W Jenan Dr, Peoria, AZ 85345-1367 2020-01-09
1003450925 Kimberly Ann Flores Nurse Practitioner 12118 W Avenida Del Rey, Peoria, AZ 85383-5819 2019-11-04
1821630666 Leesa K Jost Nurse Practitioner 8914 N Prairie Pointe Rd, Peoria, IL 61615-1574 2019-10-14
1942842018 Tamarra Lynn Subyantoro Nurse Practitioner 5114 N Glen Park Place Rd Ste 110, Peoria, IL 61614-4686 2019-10-10
1255981593 Eunmee Hong Nurse Practitioner 21369 N 79th Dr, Peoria, AZ 85382-4453 2019-09-18
1295297737 Tasha R Besser Nurse Practitioner 5114 N Glen Park Place Rd Ste 220, Peoria, IL 61614-4686 2019-04-03
1669936506 Kristin Danielle Downs Nurse Practitioner 10408 N Centerway Dr, Peoria, IL 61615-1234 2019-01-24
1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1467974196 Elizabeth A Mcleod Nurse Practitioner 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 2017-07-14
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61615

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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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