BROOK MOORE


Address: 328 N Mark Allen St, Wichita, KS 67212-5455
Phone: 3169923540

BROOK MOORE (NPI# 1619505567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619505567
Entity Type Individual
Full Name BROOK MOORE
Credential NP-C
Practice Address 328 N Mark Allen St
Wichita
KS 67212-5455
Practice Telephone 3169923540
Enumeration Date 2020-03-27
Last Update Date 2020-03-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 53-79375-092 KS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 328 N MARK ALLEN ST
City WICHITA
State KS
Zip Code 67212-5455

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891396974 Kim Deann Kercher Physical Therapist Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 2020-11-04
1700370954 Andrea Lou Wheeler Registered Nurse 658 N Fairway Ave, Wichita, KS 67212 2018-06-20
1568981231 Wichita Family Dental LLC Dentist 1445 N. Ridge Rd, Wichtia, KS 67212 2017-09-14
1396260121 Keegan Hemberger Pharmacist 555 N. Maize Road, Wichita, KS 67212 2017-08-14
1154877603 Alicia Rose Landrum Counselor 515 N Ridge Rd Ste 105, Wichita, KS 67212 2016-08-25
1306218920 Brandee Young Occupational Therapist 9710 W. Jamesburg, Wichita, KS 67212 2015-10-22
1588072201 Michelle Kuhn Pharmacist 10515 W Central, Wichita, KS 67212 2014-07-25
1972914083 Linda Mueller Mueller Marriage & Family Therapist 4425 West Zoo Blvd, Wichita, KS 67212 2014-05-12
1619392305 Jessica Smith Counselor 1319 W May, Wichita, KS 67212 2014-03-04
1245652064 Keepsake Kottage, LLC Custodial Care Facility 8801 W Bekemeyer, Wichita, KS 67212 2014-01-14
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497355473 Judith Anne Shilling Nurse Practitioner 362 N Milstead St, Wichita, KS 67212-5428 2020-10-28
1760092894 Laura Lea Aronis Nurse Practitioner 3103 N Sedgwick St, Wichita, KS 67204-4118 2020-08-04
1326663394 Evolve Diabetes LLC. Nurse Practitioner 6805 W Northwind Cir, Wichita, KS 67205-2583 2020-06-15
1104483098 Advanced Infusion and Wellness Center, LLC Nurse Practitioner 10333 E 21st St N Ste 106, Wichita, KS 67206-3544 2019-05-25
1861978421 Celeste Delaine Grothusen Nurse Practitioner 3510 N Ridge Rd Ste 100, Wichita, KS 67205-1210 2018-07-17
1235666900 Amanda A Ewertz Nurse Practitioner 3715 N. Oliver St., Wichita, KS 67220 2017-05-12
1851672141 Keri Dawn Spencer Nurse Practitioner Heartland Home Health & Hospice, 2872 N Ridge Road Suite 122, Wichita, KS 67205-1144 2011-08-31
1558657023 Debbie Dao Nurse Practitioner 2622 W Central Ave Ste 101, Wichita, KS 67203-4970 2011-06-23
1942507785 Jill D. Crotty Nurse Practitioner 551 N Hillside St Ste 510, Wichita, KS 67214-4928 2011-02-14
1760623011 Stacy Lynn Wessley Nurse Practitioner 3334 N Grey Meadow Ct, Wichita, KS 67205-8716 2009-03-17
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City WICHITA
Zip Code 67212

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Dataset Information

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.

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