KAITLYN CHRISTINA MOORE (NPI# 1578081154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578081154 |
| Entity Type | Individual |
| Full Name | KAITLYN CHRISTINA MOORE |
| Other Name | KAITLYN CHRISTINA STOVER |
| Credential | NP |
| Practice Address |
713 Bethlehem Pike Montgomeryville PA 18936-9602 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 2676953944 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP022134 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 253812 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860245 | Kaitlyn Moore | Behavior Technician | 7807 Hampton Summit Ter, Chesterfield, VA 23832 | 2018-05-09 |
| 1992212302 | Kaitlyn Virginia Moore | Specialist/Technologist | 600 Bowman Rd, Springfield, OH 45505-1814 | 2018-01-08 |
| 1154929552 | Kaitlyn Leigh Moore | Social Worker | 1482 Russ Ave, Waynesville, NC 28786-4143 | 2020-10-16 |
| 1811368939 | Kaitlyn E. Moore | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2015-10-15 |
| 1821496183 | Kaitlyn Moore | Speech-Language Pathologist | 900 N Marquis Hwy, Hartsville, SC 29550-3526 | 2014-12-18 |
| Street Address |
713 BETHLEHEM PIKE |
| City | MONTGOMERYVILLE |
| State | PA |
| Zip Code | 18936-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386633501 | Cary A Davidson | Family Medicine | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 | 2005-10-20 |
| 1942842729 | Kimberly Lightfoot | Physician Assistant | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 | 2019-10-13 |
| 1033576228 | Mary Wilson | Physician Assistant | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 | 2016-01-20 |
| 1700250685 | Victoria Lynn Lorenz | Physician Assistant | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 | 2015-11-16 |
| 1063807329 | Dana Lynn Mincer | Family Medicine | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 | 2015-04-03 |
| 1023409851 | Ryan Cook | Physician Assistant | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 | 2015-02-16 |
| 1700284643 | Marta Molak | Physician Assistant | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 | 2014-12-09 |
| 1053665067 | Patient First Pennsylvania Medical Group | Non-Pharmacy Dispensing Site | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 | 2012-10-30 |
| 1568712677 | Patient First Pennsylvania Medical Group Pllc | Family Medicine | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 | 2012-09-17 |
| 1659633733 | Sarah Jean Carmine | Physician Assistant | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174903967 | Danielle Teitelman | Dentist | 595 Bethlehem Pike Ste 302, Montgomeryville, PA 18936 | 2015-06-05 |
| 1871871731 | Advanced Urgent Care of Montgomeryville | Clinic/Center | 721 Bethlehem Pike, Montgomeryville, PA 18936 | 2011-07-26 |
| 1285720912 | Jill Erin Wezorek | Optometrist | 755 Bethelehem Pike, Suite 2a, Montgomeryville, PA 18936 | 2006-10-04 |
| 1487756201 | Mark Henry Bernstein | Psychiatry & Neurology | 593 Bethlehem Pike, Suite 4b, Montgomeryville, PA 18936 | 2006-09-02 |
| 1831155563 | William Brevard Gouger | Optometrist | 755 Bethlehem Pike, Ste 2a, Montgomeryville, PA 18936 | 2006-04-21 |
| 1407070568 | Arlene Caban-pocai | Psychologist | 595 Bethlehem Pike, Suite 201, Montgomeryville, PA 18936 | 2007-04-12 |
| 1225164957 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 755 Bethlehem Pike, Suite 2a, Montgomeryville, PA 18936 | 2007-02-26 |
| 1386789691 | For Eyes Optical Co, Inc | Optometrist | 755 Bethelehem Pike, Ste. 2, Montgomeryville, PA 18936 | 2007-02-21 |
| 1861593907 | Jane G Holland | Nurse Practitioner | 640 Bethlehem Pike, Montgomery, PA 18936 | 2006-09-25 |
| 1144452723 | Jane Ml Nguyen | Physical Therapist | 707 Bethlehem Pike, Suite C, Montgomeryville, PA 18936-9602 | 2009-08-17 |
| Find all providers in zip 18936 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740772433 | Sheetal Gladson | Nurse Practitioner | 640 Bethlehem Pike, Montgomeryville, PA 18936-9701 | 2018-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648320 | Jennifer Glace | Nurse Practitioner | 5 Moore Cir, Media, PA 19063-4953 | 2020-10-28 |
| 1710586805 | Tracey Wuestkamp Sloan | Nurse Practitioner | 5218 Bailey Ct W, Doylestown, PA 18902-1477 | 2020-10-20 |
| 1477151280 | Kelly M. Distelrath | Nurse Practitioner | 4203 Timberlane Dr, Allison Park, PA 15101-2954 | 2020-10-14 |
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1679170989 | Aubree Marie Richards | Nurse Practitioner | 253 N Hershey Rd Ste 2, Harrisburg, PA 17112-9752 | 2020-10-08 |
| 1326654237 | Alissa Marie Buckanavage | Nurse Practitioner | 6223 Autumn View Dr, Harrisburg, PA 17112-1843 | 2020-09-17 |
| 1508471962 | Macey Schaffer | Nurse Practitioner | 2903 Broadway Ave, Pittsburgh, PA 15234-2801 | 2020-09-12 |
| 1710592472 | Novique Medical Aesthetics | Nurse Practitioner | 1715 S Easton Rd, Doylestown, PA 18901-5923 | 2020-09-10 |
| 1992318141 | Mary Jucel P Angeles | Nurse Practitioner | 100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 | 2020-08-27 |
| 1205448818 | Emily A Lockwood | Nurse Practitioner | 266 Lancaster Ave Ste 303, Malvern, PA 19355-3256 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERYVILLE |
| Zip Code | 18936 |
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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.