MRS. JILL MOORE (NPI# 1639589526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639589526 |
| Entity Type | Individual |
| Full Name | MRS. JILL MOORE |
| Credential | RN, CDE |
| Practice Address |
829 N Center Ave Ste 140 Gaylord MI 49735-1598 |
| Mailing Address |
850 N Otsego Ave Suite 1 Gaylord MI 49735-1568 |
| Practice Telephone | 9897317872 |
| Practice Fax Number | 9897317833 |
| Mailing Telephone | 9897317708 |
| Mailing Fax Number | 9897317929 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
4704150144 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892680 | Jill Pamela Moore | Health Educator | 9709 Beaver Falls Rd., Beaver Falls, NY 13305 | 2020-02-06 |
| 1942855259 | Jill Ann Moore | Dietitian, Registered | 904 E Krayler Ave, Stillwater, OK 74075-2918 | 2019-08-04 |
| 1366008658 | Jill Meredith Moore | Pharmacist | 604 N Patrick St, Dublin, TX 76446-1122 | 2019-05-13 |
| 1033618350 | Jill Marie Moore | Counselor | 1801 S 40th St, Lincoln, NE 68506-5205 | 2018-02-02 |
| 1366847899 | Jill Marie Moore | Occupational Therapist | 105 Boehm Dr, Shiner, TX 77984-6288 | 2014-10-27 |
| 1669754917 | Jill M Moore | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2011-09-13 |
| 1215229026 | Jill Moore | Psychologist | 4863 N Nevada Ave Ste 250, Colorado Springs, CO 80918 | 2011-05-11 |
| 1124266101 | Jill Moore | Chiropractor | 336 S Main St, Suite 1d, Bel Air, MD 21014-3978 | 2009-01-28 |
| 1922260413 | Jill M Moore | Dermatology | 2565 Nw Lovejoy St, Suite 200, Portland, OR 97210-2996 | 2008-06-26 |
| 1033382478 | Jill Dimond Moore | Speech-Language Pathologist | 4401 S Western Ave, Dept. 2004215, Oklahoma City, OK 73109-3413 | 2008-04-07 |
| Street Address |
829 N CENTER AVE STE 140 |
| City | GAYLORD |
| State | MI |
| Zip Code | 49735-1598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154808418 | Rose Mary Noetzel Spellman | Nurse Practitioner | 829 N Center Ave Ste 140, Gaylord, MI 49735-1598 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447453 | Jenni Kirt | Social Worker | 407 I-75 Bus N, Gaylord, MI 49735 | 2020-11-05 |
| 1922584986 | Patricia Dovalina | Behavior Technician | 2285 Michaywe Dr, Otsego Lake, MI 49735 | 2018-07-12 |
| 1265944581 | James Hulbert | Social Worker | 407 W Main Street, Gaylord, MI 49735 | 2017-10-26 |
| 1548792625 | Somer Lawes | Behavior Technician | 2443 Castlewood Dr, Gaylord, MI 49735 | 2017-03-29 |
| 1922554161 | Mark David Mcpherson | Counselor | 2136 West M-32, Gaylord, MI 49735 | 2016-08-28 |
| 1689063034 | Liza Brandt | Behavioral Analyst | 6748 Colonial Ct, Gaylord, MI 49735 | 2015-01-22 |
| 1942597224 | Visions for Your Community Care Hhc | Home Health | 2365 N Perch Lake Dr, Gaylord, MI 49735 | 2011-07-07 |
| 1073778304 | Julie Lynn Vandusen | Community Health Worker | 5512 Clubhouse Trail, Gaylord, MI 49735 | 2008-07-25 |
| 1073708798 | Alpine Chiropractic, PC | Chiropractor | 529 S. Wisconsin Ave, Gaylord, MI 49735 | 2007-09-06 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| Find all providers in zip 49735 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161600 | Tiffini Ann Jones | Registered Nurse | 3624 8th St, Wyandotte, MI 48192-6509 | 2020-10-12 |
| 1093334294 | Sally M Kidman | Registered Nurse | 535 S Burdick St Ste 256, Kalamazoo, MI 49007-6112 | 2020-04-09 |
| 1205339595 | Janet Banks-mcelrath | Registered Nurse | 43421 Garfield Rd Ste 203, Clinton Twp, MI 48038-1133 | 2018-03-13 |
| 1275032849 | Bethany Wolter | Registered Nurse | 175 S Waverly Rd Ste A, Holland, MI 49423-7906 | 2018-02-08 |
| 1568974038 | Point A Organization | Registered Nurse | 12091 Cloverlawn St, Detroit, MI 48204-1012 | 2017-10-24 |
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1619346780 | Kathy Ann Bowers | Registered Nurse | 2300 N. Stallman Rd, Suttons Bay, MI 49682 | 2015-09-18 |
| 1104165851 | Frances Pachota | Registered Nurse | 28100 Grand River Ave Ste 301, Farmington Hills, MI 48336-5970 | 2013-01-31 |
| 1225292832 | Cynthia Marie Hoganson | Registered Nurse | 7696 E Claymore Ct, Canton, MI 48187-1842 | 2008-07-13 |
| 1457534703 | Linda Susan Kangas | Registered Nurse | 13396 Hyde Rd, Hartland, MI 48353-3210 | 2007-12-10 |
| 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.