KATHERINE ROSE MOORE (NPI# 1619598109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619598109 |
| Entity Type | Individual |
| Full Name | KATHERINE ROSE MOORE |
| Other Name | KATHERINE ROSE DERCKS |
| Practice Address |
421 Nebraska St Sturgeon Bay WI 54235-2225 |
| Practice Telephone | 9207467155 |
| Mailing Telephone | 9207467155 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719024 | Katherine Elizabeth Moore | Behavioral Analyst | 49 Cannonball Rd, Wanaque, NJ 07465-1048 | 2020-01-14 |
| 1184052870 | Katherine Ruth Moore | Pharmacist | 1115 South Us Highway 64, Manteo, NC 27954 | 2013-10-16 |
| 1356688600 | Katherine Dianne Moore | Occupational Therapist | 708 Irving St, Alhambra, CA 91801-3266 | 2013-01-07 |
| 1831364611 | Katherine Alford Moore | Family Medicine | 8000 Liberty Pkwy Ste 114, Vestavia, AL 35242-7563 | 2008-04-23 |
| 1164558136 | Katherine Atran Moore | Counselor | 840 Olive St, Yuba City, CA 95991-3922 | 2007-02-26 |
| 1467080846 | Katherine Moore | Social Worker | 1151 Pocono Blvd, Coolbaugh, PA 18466 | 2020-03-31 |
| 1740834316 | Katherine Moore | Nurse Practitioner | 891 W Locust St, Wilmington, OH 45177 | 2019-07-31 |
| 1669033775 | Katherine D Moore | Student in an Organized Health Care Education/Training Program | 2627 Riverside Ave, Jacksonville, FL 32204-4712 | 2019-06-28 |
| 1740757921 | Katherine E Moore | Behavioral Analyst | 32207 Tamina Rd, Magnolia, TX 77354-2556 | 2018-10-25 |
| 1972078046 | Katherine Roya Moore | Nurse Practitioner | 415 W Gore Blvd, Lawton, OK 73501-3710 | 2018-10-04 |
| Street Address |
421 NEBRASKA ST |
| City | STURGEON BAY |
| State | WI |
| Zip Code | 54235-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982680005 | Joseph A. Krebsbach | Counselor | 421 Nebraska St, Sturgeon Bay, WI 54235-2249 | 2005-12-20 |
| 1356958979 | Brianna C Franken | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-09-28 |
| 1396371217 | Danielle Nyman | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-03-23 |
| 1063048510 | Dustin Brockway | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-03-17 |
| 1316573702 | Anna Christina Calhoun | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-03-17 |
| 1851925879 | Ashley Thornton | Occupational Therapist | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-02-28 |
| 1265077481 | Cassaundra Bratz | Counselor | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2019-11-12 |
| 1215418223 | Melissa M Xiong | Social Worker | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2018-08-27 |
| 1871073064 | Abby Brown | Social Worker | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2018-08-16 |
| 1003311531 | Taylor Jandrin | Social Worker | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2018-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| 1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
| 1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
| 1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
| 1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
| 1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
| Find all providers in zip 54235 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958979 | Brianna C Franken | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-09-28 |
| 1396371217 | Danielle Nyman | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-03-23 |
| 1063048510 | Dustin Brockway | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-03-17 |
| 1316573702 | Anna Christina Calhoun | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-03-17 |
| 1851681910 | Nancy Taylor | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2011-04-11 |
| 1669559068 | Faith Ann Mccoy | Case Manager/Care Coordinator | 421 Nebraska St, Door County Community Programs C/o Chris Voigt, Sturgeon Bay, WI 54235-2225 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508730 | Andrew Vale | Case Manager/Care Coordinator | 503 E Ives St Ste 201, Marshfield, WI 54449-1577 | 2020-11-06 |
| 1275132946 | Alice M Franks-gray | Case Manager/Care Coordinator | Esu/bayside/crisis Stabilization, 702 W Main Street, Madison, WI 53715-1424 | 2020-10-22 |
| 1134734338 | Alexis Young | Case Manager/Care Coordinator | 115 N 6th St Stop 1, Wausau, WI 54403-5519 | 2020-09-14 |
| 1750996518 | Prevale S Mclin | Case Manager/Care Coordinator | 6096 N Hopkins St, Milwaukee, WI 53209-3558 | 2020-09-09 |
| 1538771712 | Monet Smith | Case Manager/Care Coordinator | 5831 W Burleigh St, Milwaukee, WI 53210-1517 | 2020-08-19 |
| 1770195331 | Taylor Ann Halmstad | Case Manager/Care Coordinator | 1651 College Ave Apt 1, Stevens Point, WI 54481-3085 | 2020-08-17 |
| 1942811690 | Angelina Sheree Jones | Case Manager/Care Coordinator | 5248 N 26th St, Glendale, WI 53209-4927 | 2020-08-14 |
| 1174131973 | Dakisha Delaney | Case Manager/Care Coordinator | 2456 N 41st St, Milwaukee, WI 53210-2932 | 2020-07-17 |
| 1528686342 | Dejuana Farmer | Case Manager/Care Coordinator | 2868 N 41st St, Milwaukee, WI 53210-1810 | 2020-07-08 |
| 1598381915 | Errica Braun | Case Manager/Care Coordinator | 4 N Hancock St, Madison, WI 53703-2802 | 2020-06-22 |
| Find all providers with the same taxonomy | ||||
| City | STURGEON BAY |
| Zip Code | 54235 |
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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.