MISS KATHLEEN L MOORE (NPI# 1558692897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558692897 |
| Entity Type | Individual |
| Full Name | MISS KATHLEEN L MOORE |
| Credential | LPN |
| Practice Address |
99 Wood Rd Freeville NY 13068-9780 |
| Practice Telephone | 6073476504 |
| Mailing Telephone | 6073476504 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 092130-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559248 | Kathleen M Moore | Psychologist | 918 Cattail Ct, Sandpoint, ID 83864-5094 | 2018-12-10 |
| 1649672544 | Kathleen Moore | Specialist | 830 Shore Rd, Apt 2i, Long Beach, NY 11561-5401 | 2014-09-23 |
| 1770826687 | Kathleen L. Moore | Psychologist | 417 S Irena Ave, Redondo Beach, CA 90277-3819 | 2013-03-28 |
| 1932448206 | Kathleen Louise Moore | Dietitian, Registered | 3267 Mineral Springs Trl, Mt Pleasant, MI 48858-9694 | 2013-02-06 |
| 1346572740 | Kathleen A Moore | Counselor | 1221 W Laketon Ave, Muskegon, MI 49441-2866 | 2010-02-10 |
| 1326603655 | Kathleen Moore | Occupational Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2019-05-02 |
| 1477037257 | Kathleen D Moore | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2018-09-18 |
| 1679055370 | Kathleen Bailey Moore | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-08-30 |
| 1255810768 | Kathleen S Moore | Speech-Language Pathologist | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-07 |
| 1578070553 | Kathleen Faye Moore | Counselor | 665 Philadelphia St, Indiana, PA 15701-3941 | 2017-12-29 |
| Street Address |
99 WOOD RD |
| City | FREEVILLE |
| State | NY |
| Zip Code | 13068-9780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699092643 | Joanne Marie Lorenc | Social Worker | 380 Freeville Rd., Freeville, NY 13068 | 2010-04-30 |
| 1235285396 | Cynthia Marie Palmer-elberty | Dentist | 1 Brooklyn Road, Freeville, NY 13068 | 2007-01-25 |
| 1508402710 | Finger Lakes Dermatology Pllc | Dermatology | 2141 Dryden Rd, Freeville, NY 13068 | 2019-11-22 |
| 1932568755 | William George Agency | Substance Abuse Rehabilitation Facility | 380 Freeville Rd, Freeville, NY 13068 | 2016-02-22 |
| 1205942752 | Colin Kenneth Dauria | Psychiatry & Neurology | 1451 Dryden Rd, Tompkins/cortland Va Cboc, Freeville, NY 13068 | 2006-08-21 |
| 1629049267 | Richard Weiner | Specialist | 24 Main Street, Freeville, NY 13068 | 2006-01-31 |
| 1861611808 | Wayne H Seeley Dmd PC | Dentist | 2028 Dryden Road, Freeville, NY 13068-0317 | 2007-04-25 |
| 1740305770 | Wayne H Seeley | Dentist | 2028 Dryden Rd, Freeville, NY 13068-0317 | 2007-03-20 |
| 1841436953 | Jens L. Wennberg | Physician Assistant | 501 Midline Rd, Freeville, NY 13068-5625 | 2008-12-18 |
| 1689018038 | Susan R Yanoff | Veterinarian | 295 Irish Settlement Rd, Freeville, NY 13068-5633 | 2013-04-28 |
| Find all providers in zip 13068 | ||||
| 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 |
|---|---|---|---|---|
| 1073169868 | Kellijo Todi | Licensed Practical Nurse | 349 Bone Plain Rd, Freeville, NY 13068-5730 | 2019-08-16 |
| 1851721435 | Penny Crandall | Licensed Practical Nurse | 41 Bell Ln, Freeville, NY 13068-8524 | 2013-11-19 |
| 1518280353 | Kelly Jo Webb | Licensed Practical Nurse | 335 Groton Rd, Freeville, NY 13068-9414 | 2010-03-08 |
| 1609072925 | Karen Sue Stabler | Licensed Practical Nurse | 888 W Dryden Rd, Freeville, NY 13068-5741 | 2007-06-24 |
| 1962554600 | Elizabeth R Moe | Licensed Practical Nurse | 494 Wood Rd, Freeville, NY 13068-9719 | 2007-01-16 |
| 1700083219 | Roderic Stabler | Licensed Practical Nurse | 888 W Dryden Rd, Freeville, NY 13068-5741 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| 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.