MRS. ROBERTA ELAINE MOORE (NPI# 1558698159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558698159 |
| Entity Type | Individual |
| Full Name | MRS. ROBERTA ELAINE MOORE |
| Credential | APRN |
| Practice Address |
4266 Sunbeam Rd Jacksonville FL 32257-2425 |
| Practice Telephone | 9044077700 |
| Practice Fax Number | 9044076001 |
| Mailing Telephone | 9044077700 |
| Mailing Fax Number | 9044076001 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN9300940 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764242 | Roberta Moore | Behavior Technician | 2425 E Southlake Blvd, Southlake, TX 76092-6674 | 2020-03-10 |
| 1508352691 | Roberta Ann Moore | Marriage & Family Therapist | 8000 Bonhomme Ave Ste 413, Clayton, MO 63105-3515 | 2018-07-02 |
| 1275992646 | Roberta Moore | Registered Nurse | 2240 E Winrow Ave, Fort Huachuca, AZ 85613 | 2016-02-15 |
| 1629316625 | Roberta Anne Moore | Nurse Practitioner | 3010 E 138th Ave, Suite 12, Tampa, FL 33613-3904 | 2013-01-25 |
| Street Address |
4266 SUNBEAM RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126774 | Community Hospice of N.e. Florida | Hospice Care, Community Based | 4266 Sunbeam Rd, Jacksonville, FL 32257-6030 | 2005-06-28 |
| 1851909808 | Allison Raquel Monique Sapp | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2020-07-15 |
| 1366066615 | Caitlin Elizabeth Mills | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2020-06-02 |
| 1407495062 | Kizzy Michelle Mccray-sheppard | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2019-12-31 |
| 1275016560 | Paula J Hoffman | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2018-09-12 |
| 1033620208 | Jennifer A Schroeder | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2017-10-16 |
| 1245770379 | Latonya Denise Green | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257 | 2017-03-08 |
| 1255877452 | Tiffany Lynne Odell | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2017-01-11 |
| 1336683705 | Adrienne Boyd Hampton | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2016-12-05 |
| 1932651528 | Tameka Nicole Hammond | Nurse Practitioner | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2016-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1497368757 | Arthur C Ricker Jr. | Nurse Practitioner | 501 E Bay St Fl 32202, Jacksonville, FL 32202-2927 | 2020-08-26 |
| 1851851554 | Veronica H Bartley | Nurse Practitioner | 15319 Spotted Stallion Trl, Jacksonville, FL 32234-2397 | 2019-03-20 |
| 1366947475 | Tikilia Denise Scott | Nurse Practitioner | 3599 University Blvd S Ste 400, Jacksonville, FL 32216-4232 | 2018-03-29 |
| 1376065417 | Geraldine M Obi | Nurse Practitioner | 3599 University Blvd S Ste 1600, Jacksonville, FL 32216-7441 | 2017-07-11 |
| 1881130060 | Yaazmiyn White | Nurse Practitioner | 8868 Merseyside Ave, Jacksonville, FL 32219-4355 | 2017-01-12 |
| 1821545872 | Anmarie Chandler | Nurse Practitioner | 320 Branscomb Dr Sw Ste A, Jacksonville, AL 36265-3102 | 2016-09-07 |
| 1538523402 | Julia Peters Paul | Nurse Practitioner | 10898 Tarin Dr, Jacksonville, FL 32218-4808 | 2016-04-07 |
| 1487035465 | Aggie Kalyn Hunt | Nurse Practitioner | 237 Old White Street, Suite 1, Jacksonville, NC 28546-6351 | 2015-06-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on MRS. ROBERTA ELAINE MOORE.
| 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.