MRS. HOLLY MARIE MOORE (NPI# 1659982411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659982411 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY MARIE MOORE |
| Credential | APRN |
| Practice Address |
2 Saint Vincent Cir Little Rock AR 72205-5423 |
| Mailing Address |
7917 S Shoreline Blvd Benton AR 72019-8795 |
| Practice Telephone | 5015523000 |
| Mailing Telephone | 5012581050 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
125968 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902363906 | Holly Moore | Psychologist | 281 Pennsylvania Ave, Massapequa Park, NY 11762-2846 | 2019-02-26 |
| 1801325477 | Holly Elizabeth Moore | Counselor | 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350-3839 | 2017-06-07 |
| 1063704369 | Holly E Moore | Counselor | 31 Morrow St, Mansfield, MA 02048-1322 | 2011-05-05 |
| 1255648390 | Holly Suzanne Moore | Skilled Nursing Facility | 202 West Davenport Street, Crossville, IL 62827 | 2010-09-10 |
| 1992994479 | Holly D Moore | Counselor | 212 Cherokee Rd, Thomaston, GA 30286-3402 | 2007-10-19 |
| 1578120986 | Holly Reith Moore | Licensed Practical Nurse | 35 12th St Se, Paris, TX 75460-6006 | 2019-05-21 |
| 1568944478 | Holly Marie Moore | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2018-09-06 |
| 1598277899 | Holly Truong Moore | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2017-10-27 |
| 1215333679 | Holly Lynn Moore | Social Worker | 9724 Kingston Pike, Suite 405, Knoxville, TN 37922-3347 | 2014-11-13 |
| 1417367897 | Holly Kebodeaux Moore | Speech-Language Pathologist | 211 N 3rd St, Suite 1, Monroe, LA 71201-6731 | 2014-05-06 |
| Street Address |
2 SAINT VINCENT CIR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684431 | St Vincent Infirmary Medical Center | General Acute Care Hospital | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2005-07-22 |
| 1023618790 | Aaron Leach | Physical Therapist | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-10-30 |
| 1396365227 | Eric Louis Sessions | Nurse Anesthetist, Certified Registered | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-21 |
| 1417577420 | Cassandra Maureen Beaumont | Registered Nurse | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-20 |
| 1992325922 | Josh Finley Edwards | Registered Nurse | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-20 |
| 1316566847 | Alex William Ebmeyer | Nurse Anesthetist, Certified Registered | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-14 |
| 1447819487 | Taliah Ragland | Nurse Practitioner | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-06-12 |
| 1992364913 | Katie Vu | Nurse Practitioner | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-06-12 |
| 1437712668 | Mario Baldassaro | Nurse Anesthetist, Certified Registered | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-04-14 |
| 1609333053 | Megan Marie Davari | Registered Nurse | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609239474 | Aimee Lee Burrous | Nurse Practitioner | 1464 N Corsica Dr, Fayetteville, AR 72704-6167 | 2016-03-30 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on MRS. HOLLY MARIE 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.