BOBBIE JEAN MOORE (NPI# 1548812076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548812076 |
| Entity Type | Individual |
| Full Name | BOBBIE JEAN MOORE |
| Practice Address |
138 E Market St Sandusky OH 44870-2506 |
| Practice Telephone | 4196219377 |
| Mailing Telephone | 4196219377 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255700944 | Bobbie Moore | Doula | 2513 Carmel Rd, Birmingham, AL 35235-2105 | 2015-09-23 |
| 1659823516 | Bobbie Moore | Nurse Practitioner | 3901a Spicewood Springs Rd Ste 201, Austin, TX 78759-8728 | 2016-10-26 |
| 1336363100 | Bobbie June Moore | Counselor | 608 Hwy 271 North, Antlers, OK 74523 | 2007-04-12 |
| Street Address |
138 E MARKET ST |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072025 | Sandusky Artisans Cooperative | Community/Behavioral Health | 138 E Market St, Sandusky, OH 44870-2506 | 2020-04-23 |
| 1245883818 | Kerry Ann Desmarais | Peer Specialist | 138 E Market St, Sandusky, OH 44870-2506 | 2019-07-22 |
| 1083266514 | Julie A Farrar | Peer Specialist | 138 E Market St, Sandusky, OH 44870-2506 | 2019-07-15 |
| 1194377911 | Christopher David Ruff | Peer Specialist | 138 E Market St, Sandusky, OH 44870-2506 | 2019-07-11 |
| 1649822552 | Mary Kathryn Bohn | Peer Specialist | 138 E Market St, Sandusky, OH 44870-2506 | 2019-07-10 |
| 1407349954 | Joseph J Supina Sr. | Peer Specialist | 138 E Market St, Sandusky, OH 44870-2506 | 2018-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
| 1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
| 1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
| 1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
| 1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
| 1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
| 1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
| Find all providers in zip 44870 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107963 | Shawn Pasch | Peer Specialist | 2006 Wilson St, Sandusky, OH 44870-1951 | 2020-06-03 |
| 1902458656 | Joseph John Myers | Peer Specialist | 1322 Putnam St, Sandusky, OH 44870-3043 | 2019-07-12 |
| 1245883818 | Kerry Ann Desmarais | Peer Specialist | 138 E Market St, Sandusky, OH 44870-2506 | 2019-07-22 |
| 1083266514 | Julie A Farrar | Peer Specialist | 138 E Market St, Sandusky, OH 44870-2506 | 2019-07-15 |
| 1194377911 | Christopher David Ruff | Peer Specialist | 138 E Market St, Sandusky, OH 44870-2506 | 2019-07-11 |
| 1649822552 | Mary Kathryn Bohn | Peer Specialist | 138 E Market St, Sandusky, OH 44870-2506 | 2019-07-10 |
| 1932695897 | Alphonso Darden | Peer Specialist | 1634 Sycamore Line, Sandusky, OH 44870-4132 | 2018-07-03 |
| 1407349954 | Joseph J Supina Sr. | Peer Specialist | 138 E Market St, Sandusky, OH 44870-2506 | 2018-06-10 |
| 1184114027 | Geoffrey Alan Cleveland | Peer Specialist | 1634 Sycamore Line, Sandusky, OH 44870-4132 | 2018-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| 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.