DR. CAMILLA SUSAN MOORE (NPI# 1639345283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639345283 |
| Entity Type | Individual |
| Full Name | DR. CAMILLA SUSAN MOORE |
| Credential | D.C. |
| Practice Address |
144 Waterman St Suite 2 Providence RI 02906-2126 |
| Mailing Address |
17 Burnside St Bristol RI 02809-2003 |
| Practice Telephone | 4013962010 |
| Practice Fax Number | 4104664050 |
| Mailing Telephone | 6176693008 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2012-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3187 | MA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811451941 | Camilla Joy Moore | Counselor | 4262 Popps Ferry Rd Ste B, Diberville, MS 39540-2391 | 2019-01-23 |
| Street Address |
144 WATERMAN ST SUITE 2 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043325954 | Lisa Shane Schachter | Social Worker | 144 Waterman St, Suite 4, Providence, RI 02906-2126 | 2006-08-20 |
| 1255464863 | Heather Ann Dolan | Acupuncturist | 144 Waterman St, Suite 4, Providence, RI 02906-2126 | 2007-03-13 |
| 1851437842 | Sean A Tuten | Acupuncturist | 144 Waterman St, Suite 5, Providence, RI 02906-2126 | 2007-01-29 |
| 1306902135 | Melanie Lee Diana | Acupuncturist | 144 Waterman St, Suite 4, Providence, RI 02906 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699282426 | Brett Cameron Murdock | Chiropractor | 555 W 100 N Ste C, Providence, UT 84332-9863 | 2018-01-02 |
| 1902108483 | Spencer William Wade | Chiropractor | 565 W 465 N, Suite 140, Providence, UT 84332-4801 | 2010-12-03 |
| 1639495278 | Lighthouse Chiropractic, PC | Chiropractor | 717 Allens Ave, Providence, RI 02905-5412 | 2010-04-07 |
| 1366682759 | Joachim Elias Badway | Chiropractor | 176 Webster Ave, Providence, RI 02909-3829 | 2009-02-25 |
| 1942479969 | Andrew Joseph Lombardi Jr. | Chiropractor | 895 N Main St, Providence, RI 02904-5712 | 2008-02-23 |
| 1023298338 | Back In Motion Inc | Chiropractor | 756 Eddy St, Providence, RI 02903-4931 | 2007-11-05 |
| 1689863474 | Ptw and Cvd Enterprises LLC | Chiropractor | 544a Chalkstone Ave, Providence, RI 02908-3618 | 2007-10-17 |
| 1881719441 | Arianna Iannuccilli | Chiropractor | 248 Atwells Ave, Providence, RI 02903-1529 | 2007-03-20 |
| 1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
| 1093842684 | Ronald E Clary Jr. | Chiropractor | 180 Whitford Ave, Providence, RI 02908-3360 | 2007-02-28 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on DR. CAMILLA SUSAN MOORE.
| 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.