MRS. JENNIFER REBECCA MOORE (NPI# 1578589263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578589263 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER REBECCA MOORE |
| Credential | A.T., C., M.ED. |
| Practice Address |
1190 S 18th Street Ext Oxford MS 38655-5378 |
| Mailing Address |
181 Highway 334 Oxford MS 38655-9402 |
| Practice Telephone | 6622340424 |
| Practice Fax Number | 6622340485 |
| Mailing Telephone | 6622818314 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0115 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1790332104 | Jennifer Dawn Moore | Technician | 3154 Jackson Bridge Rd, Carnesville, GA 30521-4126 | 2019-08-20 |
| 1427522192 | Jennifer G Moore | Speech-Language Pathologist | 2500 Cherry Ln, Northbrook, IL 60062-4414 | 2019-01-16 |
| 1548735632 | Jennifer Moore | Counselor | 11706 W Chenango Dr Apt 3, Morrison, CO 80465-2020 | 2018-10-04 |
| 1295218667 | Jennifer Elaine Moore | Registered Nurse | 185 Vz Cr 2103, Canton, TX 75103 | 2018-09-12 |
| 1942788104 | Jennifer Heine Moore | Licensed Vocational Nurse | 315 S Grand Saline St, Canton, TX 75103-1355 | 2018-07-31 |
| 1134639636 | Jennifer A Moore | Psychologist | 310 S Walnut Bend Rd Ste 2, Cordova, TN 38018-7282 | 2017-10-10 |
| 1346778214 | Jennifer Moore | Counselor | 348 Prior Ave N Ste 205, Saint Paul, MN 55104-5591 | 2017-05-23 |
| 1194263665 | Jennifer Moore | Occupational Therapist | 6540 Havens Corners Rd, Blacklick, OH 43004-8415 | 2017-02-06 |
| 1790237329 | Jennifer Moore | Student in an Organized Health Care Education/Training Program | 281 Winter St Ste 240, Waltham, MA 02451-8713 | 2016-10-31 |
| Street Address |
1190 S 18TH STREET EXT |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861423790 | Russell Talmage Johnson | Specialist/Technologist | 1190 S 18th Street Ext, Oxford, MS 38655-5378 | 2006-07-06 |
| 1073759502 | White Oak Family Medicine Clinic, LLC | Clinic/Center | 1190 S 18th Street Ext, Oxford, MS 38655-5378 | 2009-01-06 |
| 1356359988 | Erik Scott Richardson | Family Medicine | 1190 S 18th Street Ext, Oxford, MS 38655-5378 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949695 | Joseph Barbetta | Specialist/Technologist | Weeb Ewbank Way, Oxford, OH 45056 | 2019-12-12 |
| 1073151981 | Jessica Renee Westmaas | Specialist/Technologist | 750 Weeb Ewbank Way Rm 102, Oxford, OH 45056-3518 | 2019-12-11 |
| 1376199943 | John Michel | Specialist/Technologist | 8 Gum Tree Dr, Oxford, MS 38655-6175 | 2019-08-10 |
| 1992260459 | Kristin Lynn Sondys | Specialist/Technologist | 201 E Chestnut St Unit 215d, Oxford, OH 45056-2672 | 2019-02-08 |
| 1962967752 | Sarah Madison Dehaven | Specialist/Technologist | 112 Bedford Way, Oxford, PA 19363-4233 | 2019-02-05 |
| 1578038634 | Pauline Werner | Specialist/Technologist | 610 Oak St, Oxford, OH 45056-2460 | 2018-10-04 |
| 1477045540 | Anna Gearhart | Specialist/Technologist | 750 Weeb Ewbank Way, Oxford, OH 45056-3518 | 2018-06-04 |
| 1740772086 | Bailee Hilaman | Specialist/Technologist | 248 Collamer Rd, Oxford, PA 19363-1039 | 2018-06-02 |
| 1639672595 | Haley Boyd | Specialist/Technologist | 954 Leon Smith Pkwy, Oxford, AL 36203-3491 | 2018-03-16 |
| 1710493515 | Gia Eastman | Specialist/Technologist | 518 S Main St Apt 3, Oxford, OH 45056-2338 | 2017-12-17 |
| Find all providers in OXFORD | ||||
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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.