RICHARD MOORE (NPI# 1619920790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619920790 |
| Entity Type | Individual |
| Full Name | RICHARD MOORE |
| Practice Address |
940 N Waco Ave Wichita KS 67203-3947 |
| Mailing Address |
635 N Main St Wichita KS 67203-3602 |
| Practice Telephone | 3166607550 |
| Practice Fax Number | 3163838241 |
| Mailing Telephone | 3166607600 |
| Mailing Fax Number | 3163837925 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
010590 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518494657 | Richard Moore I | Dentist | 2455 Cypress Village Dr, Benton, LA 71006-9119 | 2017-05-19 |
| 1902206733 | Richard Moore | Counselor | 1701 Walkus Ct, District Heights, MD 20747-1892 | 2014-08-29 |
| 1467722777 | Richard Moore | Internal Medicine | 7642 Forsyth Blvd, Clayton, MO 63105-3404 | 2012-01-03 |
| 1902192503 | Richard Anthony Moore II | Family Medicine | 3708 Mayfair St Ste 100, Durham, NC 27707-6223 | 2011-06-22 |
| 1497049704 | Richard Winfield Moore IIi | Pharmacist | 41800 Washington St Ste 113b, Bermuda Dunes, CA 92203-8153 | 2011-06-03 |
| 1023241015 | Richard Moore | Surgery | 333 City Blvd. West - Suite 705, Orange, CA 92868-3298 | 2009-08-25 |
| 1295966000 | Richard H. Moore I | Preventive Medicine | 123 S Park Dr, Brownwood, TX 76801-5917 | 2009-07-29 |
| 1386890572 | Richard L Moore | Dermatology | 6901 Medical View Lane, Zephyrhills, FL 33542-6648 | 2008-08-07 |
| 1588876247 | Richard Eugene Moore Jr. | Physical Therapist | 4416 Ivy Commons, Charlottesville, VA 22903-7123 | 2007-05-04 |
| 1457481343 | Richard Charles Moore | Family Medicine | 309 East Spruce, Hailey, ID 83333-3530 | 2007-03-07 |
| Street Address |
940 N WACO AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67203-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780635177 | Kevin E Hartley | Social Worker | 940 N Waco Ave, Wichita, KS 67203-3947 | 2006-05-12 |
| 1841713534 | Amy Irsik | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2017-07-25 |
| 1215457304 | Esther N Osornio | Social Worker | 940 N Waco Ave, Wichita, KS 67203-3947 | 2017-06-21 |
| 1619406428 | Lori Ann Smith | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2017-06-06 |
| 1881123719 | Amber Di Napoli | Social Worker | 940 N Waco Ave, Wichita, KS 67203-3947 | 2017-06-05 |
| 1568912616 | Kathleen Miller | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2016-10-12 |
| 1447704044 | Erin Johnson | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2016-08-11 |
| 1922472257 | Michael Benitez | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2015-11-24 |
| 1356710883 | Judith Whetzel | Counselor | 940 N Waco Ave, Wichita, KS 67203-3947 | 2015-09-15 |
| 1770950602 | Lana Koker | Registered Nurse | 940 N Waco Ave, Wichita, KS 67203-3947 | 2015-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
| 1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
| 1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| 1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| 1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
| Find all providers in zip 67203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194989 | Matthew Rathbun | Counselor | 551 S Holland Ln, Wichita, KS 67209-2007 | 2020-04-28 |
| 1275168064 | Katherine Fibert | Counselor | 9019 W 10th St N # W10th, Wichita, KS 67212-4020 | 2020-03-12 |
| 1275011462 | Tag Treatment Center LLC | Counselor | 1999 N Amidon Ave Ste 335, Wichita, KS 67203-2152 | 2018-07-31 |
| 1538675137 | Karmeleta Burnett | Counselor | 2201 E 13th St N Ste E, Wichita, KS 67214-1903 | 2017-12-18 |
| 1477072627 | H. Wayne Simpson | Counselor | 3835 W Douglas Ave, Wichita, KS 67213-2408 | 2017-09-19 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1548709520 | Lorna Rae Stoecklein | Counselor | 1337 N Meridian Ave Ste 5, Wichita, KS 67203-4641 | 2017-02-23 |
| 1871037481 | Chelsea Ajuka Anukam | Counselor | 801 E Douglas Ave Fl 2, Wichita, KS 67202-3548 | 2016-12-15 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| Find all providers in WICHITA | ||||
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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.