CANDACE L MOORE (NPI# 1568555282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568555282 |
| Entity Type | Individual |
| Full Name | CANDACE L MOORE |
| Credential | PA-C |
| Practice Address |
2650 N Tenaya Way Ste 301 Las Vegas NV 89128 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7028702099 |
| Practice Fax Number | 7028695347 |
| Mailing Telephone | 7028702099 |
| Mailing Fax Number | 7028695347 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA940 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982973137 | Candace Makeda Moore | Emergency Medicine | 4 Ave Laguna Apt 8h, Con. Launa Gardens; Apt. 8h, Carolina, PR 00979-6574 | 2011-12-16 |
| 1689865628 | Candace Renata Moore | Speech-Language Pathologist | 312 Viceroy Curv, Stockbridge, GA 30281-9140 | 2007-08-06 |
| 1295881621 | Candace R. Moore | Physical Therapist | 25298 Lee Hwy, Abingdon, VA 24211-7460 | 2007-01-26 |
| 1871149377 | Candace Moore | Behavior Technician | 401 E Memorial Rd Ste 700, Oklahoma City, OK 73114-2287 | 2019-08-12 |
| 1114458528 | Candace Moore | Speech-Language Pathologist | 6003 Masondale Rd, Alexandria, VA 22315-5596 | 2017-03-27 |
| 1942623327 | Candace Moore | Pharmacist | 7390 Tylersville Rd, West Chester, OH 45069-1522 | 2014-01-21 |
| 1164856100 | Candace Elizabeth Moore | Counselor | 1818 Se Division St, Portland, OR 97202-1159 | 2013-08-27 |
| 1568701571 | Candace Mcinnis Moore | Nurse Practitioner | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2013-02-11 |
| 1710246491 | Candace Michelle Moore | Registered Nurse | 1401 Sparta St, Mcminnville, TN 37110-1301 | 2012-05-15 |
| 1285962605 | Candace Moore | Nurse Practitioner | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2009-11-23 |
| Street Address |
2650 N TENAYA WAY STE 301 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768509 | Arpine Tacvorian | Pediatrics | 2650 N Tenaya Way Ste 301, Las Vegas, NV 89128 | 2005-05-23 |
| 1477890572 | Wesley R. Zimmerman | Specialist/Technologist, Other | 2650 N Tenaya Way Ste 301, Nevada Orthopedic & Spine Center, Las Vegas, NV 89128-1112 | 2013-01-09 |
| 1538322813 | Taryn Mcfadden Bragg | Neurological Surgery | 2650 N Tenaya Way Ste 301, Las Vegas, NV 89128-1112 | 2008-07-07 |
| 1417162561 | Barbara Stiffler | Nurse Practitioner | 2650 N Tenaya Way Ste 301, Las Vegas, NV 89128 | 2007-05-11 |
| 1902883341 | Davita Medical Group Nevada Coats Ltd | Pediatrics | 2650 N Tenaya Way Ste 301, Las Vegas, NV 89128 | 2005-12-28 |
| 1043212558 | Reynaldo Agulto Santos | Pediatrics | 2650 N Tenaya Way Ste 301, Las Vegas, NV 89128 | 2005-08-15 |
| 1326040999 | Harold Leonard Naiman | Pediatrics | 2650 N Tenaya Way Ste 301, Las Vegas, NV 89128 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554106 | Amy Hamilton | Physician Assistant | 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 | 2019-02-12 |
| 1386145159 | Kevin Refahiyat | Physician Assistant | 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 | 2018-02-26 |
| 1316487325 | Nadiya-larissa Bateman | Physician Assistant | 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 | 2017-02-24 |
| 1760840797 | Ying Quan | Physician Assistant | 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 | 2016-02-04 |
| 1396121646 | Lucas Michal Anderson | Physician Assistant | 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 | 2015-08-09 |
| 1851631378 | Matthew Sanders | Physician Assistant | 6870 S. Rainbow Blvd, Suite 106, Las Vegas, NV 89118 | 2013-02-20 |
| 1285973289 | Jesus Angel Corn Sotelo | Physician Assistant | 4225 S Eastern Ave Ste 8, Las Vegas, NV 89119-5485 | 2013-02-11 |
| 1952675993 | Donald Patrick Mcgrorey Md Pllc | Physician Assistant | 6440 N Durango Dr Bldg A, Las Vegas, NV 89149-8513 | 2012-03-07 |
| 1508136375 | Leigh Richards Boeckle | Physician Assistant | 9033 W Sahara Ave, Las Vegas, NV 89117 | 2012-01-10 |
| 1225315229 | Samantha J Van Ginneken | Physician Assistant | 8020 S Rainbow Blvd Ste 100, Box #536, Las Vegas, NV 89139-6494 | 2011-11-04 |
| Find all providers in LAS VEGAS | ||||
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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.