MRS. ANGELIA J MOORE (NPI# 1568620474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568620474 |
Entity Type | Individual |
Full Name | MRS. ANGELIA J MOORE |
Credential | M.ED. |
Practice Address |
207 16th St Ste 301 Ashland KY 41101-7908 |
Practice Telephone | 6063299333 |
Practice Fax Number | 6063290468 |
Mailing Telephone | 6063299333 |
Mailing Fax Number | 6063290468 |
Enumeration Date | 2008-05-28 |
Last Update Date | 2011-03-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
C1100031 | OH | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
KY1199 | KY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH | 12202487 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033504857 | Angelia Renee' Moore | Physician Assistant | 6439 Iron Bridge Rd, North Chesterfield, VA 23234-5205 | 2015-03-30 |
Street Address |
207 16TH ST STE 301 |
City | ASHLAND |
State | KY |
Zip Code | 41101-7908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396852430 | Jill Denise Robinson | Social Worker | 207 16th St Ste 301, Ashland, KY 41101-7908 | 2006-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
Find all providers in zip 41101 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578473 | Eastern Kentucky Specialties, LLC | Counselor | 1544 Winchester Ave Ste 804, Ashland, KY 41101-7931 | 2020-11-06 |
1144871070 | Pamela Cancel | Counselor | 1000 Benson Way Ste 204, Ashland, OR 97520-9564 | 2019-09-23 |
1811554280 | Jennifer J Tucker | Counselor | 502 Main St W Ste 306, Ashland, WI 54806-1579 | 2019-05-21 |
1093202186 | Carolyn Ligon Palmore | Counselor | 201 N Washington Hwy Ste 201, Ashland, VA 23005 | 2018-04-16 |
1902319577 | Alison Lee Nightingale | Counselor | 1135 Old Highway 99 S, Ashland, OR 97520-9719 | 2017-11-06 |
1396284394 | William Brian Cook | Counselor | 1212 Bath Ave, 8th Floor, Ashland, KY 41101-5422 | 2017-02-23 |
1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
1760939011 | Elizabeth Diane Hocker | Counselor | 203 Johnson Ct, Ashland, MO 65010-9473 | 2016-09-03 |
1689120248 | Pamela Yvonne Lemaster | Counselor | 2233 Rocky Lane, Ashland, OH 44805 | 2016-09-01 |
1598120495 | David Zachary Porter | Counselor | 3728 Peachtree Rd, Ashland, KY 41102 | 2015-12-18 |
Find all providers in ASHLAND |
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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.