SANDRA ANN MOORE (NPI# 1629532569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629532569 |
| Entity Type | Individual |
| Full Name | SANDRA ANN MOORE |
| Credential | CDPT |
| Practice Address |
2632 E 17th St Bremerton WA 98310-5058 |
| Practice Telephone | 3602713064 |
| Mailing Telephone | 3602713064 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 60908285 | WA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942701826 | Sandra Moore | Licensed Practical Nurse | 48 Huntley Rd, Elmont, NY 11003-1407 | 2018-02-26 |
| 1083038350 | Sandra Moore | Occupational Therapist | Psc 76 Box 263, 65th Med Group/sgh, Apo, AE 09720-0003 | 2014-02-07 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1073767232 | Sandra Smith Moore | Physical Therapist | 3915 Puckett Creek Xing, E823, Murfreesboro, TN 37128-4260 | 2008-11-13 |
| 1790906741 | Sandra C Moore | Pharmacist | 160 N Post Rd, West Windsor, NJ 08550-5003 | 2007-05-01 |
| 1023135886 | Sandra Moore | Licensed Practical Nurse | 130 Preserve Dr, Royal Palm Beach, FL 33411-1569 | 2007-03-24 |
| 1881725802 | Sandra Evette Moore | Social Worker | 2506 Lesh Ct, Crofton, MD 21114-3221 | 2007-03-08 |
| 1396804167 | Sandra Moore | Nurse Practitioner | Of State 2401 E St Nw, M Med Qi, Sa 1, Washington, DC 20522-0001 | 2006-12-08 |
| 1285725523 | Sandra J Moore | Chiropractor | 1971 Holton Rd, Suite B, North Muskegon, MI 49445-1698 | 2006-09-28 |
| 1477522233 | Sandra M Moore | Pharmacist | 2031 Massachusetts Ave Ne, St Petersburg, FL 33703-3403 | 2006-03-15 |
| Street Address |
2632 E 17TH ST |
| City | BREMERTON |
| State | WA |
| Zip Code | 98310-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
| 1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
| 1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
| 1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
| 1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
| 1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
| 1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
| Find all providers in zip 98310 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801003439 | Kitsap County | Substance Abuse Rehabilitation Facility | 1975 Ne Fuson Rd, Bremerton, WA 98311-3738 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787763 | For The Culture Counseling Services | Substance Abuse Rehabilitation Facility | 4301 S Pine St Ste 92, Tacoma, WA 98409-7259 | 2020-10-12 |
| 1760090518 | Hotel California By The Sea Bellevue, LLC. | Substance Abuse Rehabilitation Facility | 7810 130th Ave Ne, Kirkland, WA 98033-8251 | 2020-07-17 |
| 1972085835 | Peninsula Counseling, LLC | Substance Abuse Rehabilitation Facility | 3214 50th Street Ct Nw Ste D-305, Gig Harbor, WA 98335-8589 | 2018-09-06 |
| 1356831911 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr Ste B, Spokane, WA 99208-6514 | 2018-05-18 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1346785524 | Big Change Medical | Substance Abuse Rehabilitation Facility | 26857 16th Ave S, Des Moines, WA 98198-9327 | 2016-12-27 |
| 1881062362 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 113 23rd Ave S, Seattle, WA 98144-2309 | 2015-09-14 |
| 1073995080 | The Haven Detox Center LLC | Substance Abuse Rehabilitation Facility | 8649 Martin Way E, Lacey, WA 98516-5812 | 2015-06-25 |
| 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.