ELIZABETH M MOORE (NPI# 1598857377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598857377 |
| Entity Type | Individual |
| Full Name | ELIZABETH M MOORE |
| Credential | CNS |
| Practice Address |
3650 Steve Reynolds Boul Duluth GA 30096 |
| Mailing Address |
3495 Piedmont Road Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 7709316012 |
| Mailing Telephone | 4043647000 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | RN054545 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104476183 | Elizabeth Ann Moore | Technician | 233 Stone Circle Drive, Gordonville, TX 76245 | 2019-09-12 |
| 1548812092 | Elizabeth Berthe Moore | Nurse Practitioner | 45 Hale St, Norwich, NY 13815-2038 | 2019-07-15 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1295390953 | Elizabeth Adair Moore | Speech-Language Pathologist | 165 Sheffield Rd, Easley, SC 29642-3317 | 2019-05-07 |
| 1346721743 | Elizabeth Moore | Social Worker | 315 New River Rd, Manville, RI 02838-1817 | 2018-08-23 |
| 1912407248 | Elizabeth Zoey Moore | Health Educator | 920 Corporae Lane, Chesapeake, VA 23320 | 2018-02-13 |
| 1457801615 | Elizabeth Moore | Speech-Language Pathologist | 12881 Winthrop Cove Dr, Jacksonville, FL 32224-7568 | 2016-10-11 |
| 1144773870 | Elizabeth Moore | Social Worker | 2222 Marion Mount Gilead Rd, Marion, OH 43302-9125 | 2016-07-29 |
| 1477904076 | Elizabeth Jane Moore | Counselor | 209 Seneca Ave, Byesville, OH 43723-1364 | 2016-06-24 |
| 1285028415 | Elizabeth Moore | Student in an Organized Health Care Education/Training Program | 135 S Ross St, Auburn, AL 36830-5533 | 2015-03-25 |
| Street Address |
3650 STEVE REYNOLDS BOUL |
| City | DULUTH |
| State | GA |
| Zip Code | 30096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669467379 | Tracy Lynn Jimerson | Pediatrics | 3650 Steve Reynolds Boul, Pediatrics Health Care Team A, Duluth, GA 30096 | 2005-09-19 |
| 1548317597 | Laurilyn D Boyd | Nurse Practitioner | 3650 Steve Reynolds Boul, Pediatrics Health Care Team A, Duluth, GA 30096 | 2007-01-04 |
| 1689737488 | Thomas B Janter | Pediatrics | 3650 Steve Reynolds Boul, Pediatrics Health Care Team A, Duluth, GA 30096 | 2006-12-19 |
| 1336207562 | Catherine C Dragstedt | Pediatrics | 3650 Steve Reynolds Boul, Pediatrics Health Care Team A, Duluth, GA 30096 | 2006-12-04 |
| 1649357831 | Felicia D Pharagood Wade | Emergency Medicine | 3650 Steve Reynolds Boul, Department of After Hours, Duluth, GA 30096 | 2006-11-01 |
| 1043396237 | Michelle S Berkowitz | Midwife | 3650 Steve Reynolds Boul, Department of Obstetrics & Gynecology, Duluth, GA 30096 | 2006-10-31 |
| 1497831689 | Ianthia B Smith | Pediatrics | 3650 Steve Reynolds Boul, Pediatrics Health Care Team A, Duluth, GA 30096 | 2006-10-31 |
| 1497831390 | Richard B Abrohams | Internal Medicine | 3650 Steve Reynolds Boul, Department of After Hours, Duluth, GA 30096 | 2006-10-31 |
| 1609952811 | Dennis J Clayton | Internal Medicine | 3650 Steve Reynolds Boul, Internal Medicine Health Care Team A, Duluth, GA 30096 | 2006-10-31 |
| 1881770071 | Alice R Heimberg-funk | Psychiatry & Neurology | 3650 Steve Reynolds Boul, Department of Behavioral Health, Duluth, GA 30096 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851436752 | Marie Ellen Sullivan | Clinical Nurse Specialist | 407 E 3rd St, Duluth, MN 55805-1950 | 2007-02-20 |
| 1982796769 | Mary F Kozel | Clinical Nurse Specialist | Department of Behavioral Health, 3650 Steve Reynolds Boul, Duluth, GA 30096 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528886 | Regina Beatie | Clinical Nurse Specialist | 1072 Fiddler Crab Rd Ne, Townsend, GA 31331-7800 | 2017-06-13 |
| 1194100362 | Sarah Carson | Clinical Nurse Specialist | 3949 Round Pond Rd, La Fayette, GA 30728-4710 | 2015-07-29 |
| 1144558404 | Kimberly Tyra Lanier | Clinical Nurse Specialist | 5965 Parkway North Blvd., Suite C, Cumming, GA 30040 | 2009-11-25 |
| 1346371796 | Anne T Evans | Clinical Nurse Specialist | 315 W Ponce De Leon Av, Ste 780, Decatur, GA 30030 | 2007-03-08 |
| 1073129581 | Amanda Walter | Clinical Nurse Specialist | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1611 | 2020-09-21 |
| 1841686193 | Kathryn Vargo Butler | Clinical Nurse Specialist | 5965 Parkway North Blvd, Suite C, Cumming, GA 30040 | 2015-04-14 |
| 1629475355 | Lauren Thomas | Clinical Nurse Specialist | 975 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1619 | 2014-11-24 |
| 1154735736 | Angela Jones | Clinical Nurse Specialist | 6501 Peake Rd, Suite 1000, Macon, GA 31210-8042 | 2014-06-11 |
| 1427116656 | Lynn M Stamegna | Clinical Nurse Specialist | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2006-12-04 |
| 1528142437 | Corinne Lynn Palmer | Clinical Nurse Specialist | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2006-10-25 |
| 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.