TRACY MOORE (NPI# 1598130395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598130395 |
| Entity Type | Individual |
| Full Name | TRACY MOORE |
| Practice Address |
2 Laura Ln Otisville NY 10963-2316 |
| Practice Telephone | 8454125414 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 316043 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154536134 | Tracy Lenore Moore | Licensed Practical Nurse | 1046 Lakegrove Ct, Westerville, OH 43081-1958 | 2007-05-11 |
| 1497388417 | Tracy Moore | Physical Medicine & Rehabilitation | 1335 Cypress St Ste 100, San Dimas, CA 91773-3538 | 2020-02-18 |
| 1538711510 | Tracy Moore | Behavior Technician | 9480 Three Rivers Rd, Gulfport, MS 39503-4248 | 2019-07-10 |
| 1982143152 | Tracy Leigh Moore | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2017-02-21 |
| 1144684358 | Tracy Moore | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-04-13 |
| 1588024483 | Tracy Moore | Dietitian, Registered | 3220 Providence Dr, Suite E3-030, Anchorage, AK 99508-4679 | 2016-03-04 |
| 1457743221 | Tracy Moore | Social Worker | 654 Ne 9th Pl, Homestead, FL 33030-4934 | 2015-03-03 |
| 1558614677 | Tracy J Moore | Counselor | 5500 Executive Center Dr, Charlotte, NC 28212-8856 | 2012-10-26 |
| 1861716649 | Tracy Moore | Physical Therapist | 40 N Main St, Bellingham, MA 02019-1590 | 2010-03-23 |
| 1417188558 | Tracy C. Moore | Registered Nurse | 830 S Limestone Street, Lexington, KY 40536-2477 | 2009-08-06 |
| Street Address |
2 LAURA LN |
| City | OTISVILLE |
| State | NY |
| Zip Code | 10963-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598077174 | Courtney Jean Rosen | Occupational Therapist | 293 Robbins Road, Otisville, NY 10963 | 2010-07-12 |
| 1407063373 | Diane Rita Sommer | General Practice | 2 Mile Drive, Otisville, NY 10963 | 2007-05-17 |
| 1578681383 | John William Claar | Pharmacist | 2 Mile Dr, Fci Otisville Pharmacy, Otisville, NY 10963 | 2007-03-27 |
| 1235262601 | Edan Blumenthal | Dentist | 1003 Baltimore Pike, Media, PA 10963 | 2007-03-14 |
| 1538188834 | Otisville Mt. Hope Volunteer Ambulance | Ambulance | 60 State Str, Otisville, NY 10963 | 2006-07-18 |
| 1457910929 | Jayne Alice Vander Hey-wright | Physician Assistant | 2 Mile Drive, Otisville, NY 10963 | 2019-06-10 |
| 1679759435 | Jean Vincent Perrot | Pharmacist | 722 Rt 6 and 209, 722 Rt 6 and 209, Matamoras, PA 10963-0000 | 2008-01-11 |
| 1710310461 | Federal Correctional Institution, Otisville | Clinic/Center | Two Mile Drive, Otisville, NY 10963-0600 | 2013-08-16 |
| 1417127739 | Joan Marie Muino | Social Worker | 9 Otis Cir, Otisville, NY 10963-2234 | 2008-03-03 |
| 1972686426 | Lisa Marie Hahne | Occupational Therapy Assistant | 3 Laura Ln, Otisville, NY 10963-2318 | 2006-10-20 |
| Find all providers in zip 10963 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.