ALLISON D MOORE (NPI# 1548229602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548229602 |
| Entity Type | Individual |
| Full Name | ALLISON D MOORE |
| Credential | CRNP |
| Practice Address |
1901 Melba Drive Dothan AL 36301 |
| Practice Telephone | 3347946611 |
| Practice Fax Number | 3347946614 |
| Mailing Telephone | 3347946611 |
| Mailing Fax Number | 3347946614 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2007-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1081292 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 00012172 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 051512172 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562275 | Allison Moore | Counselor | 510 Shennandoah Dr, Desoto, TX 75115-2941 | 2020-06-16 |
| 1265959845 | Allison Leigh Moore | Occupational Therapist | 712b Whalers Way, Suite B200, Fort Collins, CO 80525 | 2017-08-24 |
| 1639626286 | Allison Griffin Moore | Physician Assistant | 7720 S Broadway Ste 350, Littleton, CO 80122-2634 | 2016-09-01 |
| 1952760746 | Allison Moore | Counselor | 3425 Summerville St, Lynchburg, VA 24503-1344 | 2016-02-22 |
| 1205189990 | Allison Skillman Moore | Physical Therapist | 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 2012-10-18 |
| 1770831802 | Allison Moore | Counselor | 7530 E. Angus Drive, Scottsdale, AZ 85254 | 2012-08-21 |
| 1700157393 | Allison Jill-hutchins Moore | Physical Therapy Assistant | 1597 Cove Rd, Rutherfordton, NC 28139-7555 | 2012-01-13 |
| 1689864969 | Allison Wells Moore | Occupational Therapist | 7000 Tusbury Road, Baltimore, MD 21244-2675 | 2007-08-01 |
| 1053931931 | Allison Moore | Counselor | 3010 Legacy Dr Ste 220, Frisco, TX 75034-7339 | 2020-04-21 |
| 1356971618 | Allison Moore | Behavior Technician | 4412 6th Ave, Tacoma, WA 98406-3500 | 2020-01-24 |
| Street Address |
1901 MELBA DRIVE |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013986215 | Amanda B Imming | Nurse Practitioner | 1901 Melba Drive, Dothan, AL 36301 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| 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 |
|---|---|---|---|---|
| 1568095446 | Marathon Health LLC | Nurse Practitioner | 131 Cliff Rd, Dothan, AL 36303-5415 | 2020-02-19 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1902396286 | Genevieve Patricia Lewellyn | Nurse Practitioner | 1184 Upton Rd, Dothan, AL 36305-5134 | 2018-05-13 |
| 1073979886 | Sydney Stevens Weber | Nurse Practitioner | 1052 Ross Clark Cir, Dothan, AL 36303-5425 | 2016-01-08 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1013310143 | Samantha Poole Carter | Nurse Practitioner | 4300 W Main St Ste 15, Dothan, AL 36305-1058 | 2014-10-03 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1144469438 | Houston County Healthcare Authority | Nurse Practitioner | 1806 Fairview Ave Ste A, Dothan, AL 36301-3026 | 2009-02-11 |
| 1851430383 | Robert Michael Ortiz | Nurse Practitioner | 1118 Ross Clark Cir Ste 303, Dothan, AL 36301-3002 | 2007-02-05 |
| 1841309648 | Malissa Harkleroad Williams | Nurse Practitioner | 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 | 2006-08-29 |
| Find all providers in DOTHAN | ||||
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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.