NANCY A. MOORE (NPI# 1548356249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548356249 |
| Entity Type | Individual |
| Full Name | NANCY A. MOORE |
| Credential | CPNP |
| Practice Address |
700 W Jefferson St Shorewood IL 60404-7608 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 8157412888 |
| Mailing Telephone | 8157142888 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209002503 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184194078 | Nancy C Moore | Counselor | 1432 E. 7th Street, Charlotte, NC 28204-3340 | 2018-12-04 |
| 1225560543 | Nancy Maria Moore | Home Health Aide | 209 Rocky Run Rd, Fredericksburg, VA 22406-5413 | 2017-03-28 |
| 1194066225 | Nancy T Moore | Registered Nurse | 400 Glenwood St, Greenwood, SC 29649-1523 | 2013-03-14 |
| 1407051535 | Nancy Elizabeth Moore | Social Worker | 2300 Lake Park Dr, Suite 100, Atlanta, GA 30080 | 2007-06-19 |
| 1417073149 | Nancy L Moore | Social Worker | 1613 Norcol Ln, Cincinnati, OH 45231-5224 | 2007-03-22 |
| 1902946791 | Nancy L Moore | Day Training/Habilitation Specialist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2007-02-08 |
| 1639180714 | Nancy C Moore | Physical Therapist | 200 Srpings Rd, Bedford, MA 01730 | 2006-08-11 |
| 1780293845 | Nancy Kay Moore | Counselor | 118 Avenue C, Cloquet, MN 55720-1546 | 2020-07-24 |
| 1699134346 | Nancy Beatrice Moore | Nurse Practitioner | 4901 Forest Park Ave, Ste 341, Saint Louis, MO 63108-1495 | 2016-02-22 |
| 1902159874 | Nancy Marie Moore | Dietitian, Registered | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2012-10-17 |
| Street Address |
700 W JEFFERSON ST |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60404-7608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034422 | Douglas Ray Bierma Jr. | Pediatrics | 700 W Jefferson St, Shorewood, IL 60431-7608 | 2005-09-23 |
| 1588158695 | Tondalaya M Brainard | Occupational Therapist | 700 W Jefferson St, Shorewood, IL 60404 | 2018-06-21 |
| 1144685975 | Dupage Medical Group, Ltd | Prosthetic/Orthotic Supplier | 700 W Jefferson St, Shorewood, IL 60404-7608 | 2015-12-21 |
| 1053705244 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 700 W Jefferson St, Shorewood, IL 60404-7608 | 2015-03-25 |
| 1538419072 | City Wide Village Mattress | Durable Medical Equipment & Medical Supplies | 700 W Jefferson St, Route 52, Shorewood, IL 60404-7608 | 2012-09-12 |
| 1003186370 | Rebecca Ann Herbert | Specialist/Technologist | 700 W Jefferson St, Shorewood, IL 60404-7608 | 2012-01-04 |
| 1366758674 | Dee A Foreman | Social Worker | 700 W Jefferson St, Shorewood, IL 60404-7608 | 2010-08-24 |
| 1083873467 | Lori Jones | Nurse Practitioner | 700 W Jefferson St, Shorewood, IL 60404-7608 | 2008-06-02 |
| 1447476098 | Thomas J. Moore, M.d., S.c. | Specialist | 700 W Jefferson St, Shorewood, IL 60431-7608 | 2007-04-18 |
| 1992836381 | Traci Rzeszutko | Dietitian, Registered | 700 W Jefferson St, Shorewood, IL 60404-7608 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669035242 | Mobile Dental Care of Delaware, Pa | Dentist | 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 | 2019-04-18 |
| 1326476755 | Christine Briski | Speech-Language Pathologist | 210 W Black Road, Shorewood, IL 60404 | 2013-10-22 |
| 1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
| 1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
| 1043567720 | Matthew Reiot Klebenow | Occupational Therapist | 852a Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center, Shorewood, IL 60404 | 2012-08-13 |
| 1366728222 | Linda K Alonso | Pharmacist | 1160 W. Jefferson St., Shorewood, IL 60404 | 2011-10-24 |
| 1205110186 | Lanie R Moreno | Physical Therapist | 850 Brookforest Ave Unit L, Shorewood, IL 60404 | 2011-10-10 |
| 1932386810 | Advanced Family Dental of Shorewood, P.C. | Dentist | 150 N Brook Forest Drive, Shorewood, IL 60404 | 2008-01-23 |
| 1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
| 1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
| Find all providers in zip 60404 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083873467 | Lori Jones | Nurse Practitioner | 700 W Jefferson St, Shorewood, IL 60404-7608 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
| 1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
| 1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
| 1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
| 1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| 1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
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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.