MARYANN MARIE MOORE (NPI# 1548551476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548551476 |
| Entity Type | Individual |
| Full Name | MARYANN MARIE MOORE |
| Credential | L.P.N. |
| Practice Address |
10624 Tallmadge Rd Diamond OH 44412-9749 |
| Mailing Address |
Po Box 196 Diamond OH 44412-0196 |
| Practice Telephone | 3306544969 |
| Mailing Telephone | 3306544969 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN.036045 | OH | Nursing Service Providers |
| Street Address |
10624 TALLMADGE RD |
| City | DIAMOND |
| State | OH |
| Zip Code | 44412-9749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649695297 | Jennifer Lassen | Physical Therapist | 14780 Stoltz Rd, Diamond, OH 44412-9611 | 2014-02-19 |
| 1902038482 | Christine Elaine Windt | Registered Nurse | 14675 Stoltz Rd, Diamond, OH 44412-9611 | 2009-08-17 |
| 1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
| 1558438200 | Michelle Rose Miller | Registered Nurse | 3672 State Route 225, Diamond, OH 44412-9721 | 2006-11-29 |
| 1578173761 | Cassandra Marie Clawson | Family Medicine | 10655 Tallmadge Rd, Diamond, OH 44412-9749 | 2020-08-03 |
| 1760549679 | Township of Palmyra Trustees | Ambulance | 3956 State Route 225, Diamond, OH 44412-9757 | 2007-01-02 |
| 1063849016 | Larry C. Barkley | Preferred Provider Organization | 9479 Cable Line Rd, Diamond, OH 44412-9784 | 2013-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
| 1932619061 | Craig M Warner | Counselor | 581 W Oak St, Diamond, IL 60416-2423 | 2017-10-03 |
| 1720475676 | Diamond Medical and Therapy Group, S.c. | Chiropractor | 1380 E Division St, Diamond, IL 60416-9785 | 2015-04-17 |
| 1649695297 | Jennifer Lassen | Physical Therapist | 14780 Stoltz Rd, Diamond, OH 44412-9611 | 2014-02-19 |
| 1497178974 | Christina Christensen | Counselor | 1055 Crown Ct, Diamond, IL 60416-3005 | 2014-02-04 |
| 1063849016 | Larry C. Barkley | Preferred Provider Organization | 9479 Cable Line Rd, Diamond, OH 44412-9784 | 2013-10-07 |
| 1780934372 | Angela J Connor | Counselor | 1724 E Patmore St, Diamond, IL 60416-6031 | 2012-09-11 |
| 1902038482 | Christine Elaine Windt | Registered Nurse | 14675 Stoltz Rd, Diamond, OH 44412-9611 | 2009-08-17 |
| 1235386509 | Hilary E Kohs | Social Worker | 2095 E Tracy St, Diamond, IL 60416-9409 | 2008-08-19 |
| 1922203538 | Diamond R-iv School | Physical Therapist | 401 S. Main, Diamond, MO 64840 | 2007-06-15 |
| Find all providers in DIAMOND | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841277 | Deja Shepard | Licensed Practical Nurse | 725 Hand Ave, Cincinnati, OH 45232-1736 | 2020-11-06 |
| 1932700309 | Heather Mershon | Licensed Practical Nurse | 1535 E Hickory Grove Rd, Urbana, OH 43078-9475 | 2020-11-03 |
| 1831799774 | Kristina Maria Sorbilli | Licensed Practical Nurse | 709 N Cable Rd Ste A, Lima, OH 45805-1737 | 2020-10-29 |
| 1659971745 | Christina Johanna Ambrose | Licensed Practical Nurse | 3779 Huntmere Ave, Austintown, OH 44515-3144 | 2020-10-28 |
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1043810435 | Victoria R Berry | Licensed Practical Nurse | 3814 Charter Oak Way, Columbus, OH 43219-6150 | 2020-10-27 |
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1205434982 | Elizabeth M Njuangang | Licensed Practical Nurse | 17603 Whitney Rd Apt 108, Strongsville, OH 44136-2447 | 2020-10-14 |
| 1023616117 | Verenda Deon Evans | Licensed Practical Nurse | 180 Brush Rd, Richmond Hts, OH 44143-1128 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
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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.