TINA MARIE MOORE (NPI# 1679173967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679173967 |
| Entity Type | Individual |
| Full Name | TINA MARIE MOORE |
| Practice Address |
347 Covington Dr Ste A Waterloo IL 62298-3287 |
| Practice Telephone | 6182572200 |
| Practice Fax Number | 6182572205 |
| Mailing Telephone | 6182572200 |
| Mailing Fax Number | 6182572205 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | 3000256 | IL | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | 3000256 | IL | Nursing Service Related Providers |
| Y | 376J00000X | Homemaker | 3000256 | IL | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059420 | Tina R Moore | Social Worker | 3000 Cleveland Ave Ste 201, Santa Rosa, CA 95403-2117 | 2018-10-21 |
| 1285018614 | Tina Moore | Technician, Other | 41943 Hensall St, Clinton Twp, MI 48038-1971 | 2015-07-15 |
| 1528576071 | Tina Marie Moore | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481 | 2018-01-18 |
| 1083088553 | Tina Moore | Skilled Nursing Facility | 1500 Byron Rd, Howell, MI 48855-6772 | 2015-11-21 |
| 1033531181 | Tina Moore | Nurse Practitioner | 1860 N Church Rd, Liberty, MO 64068 | 2014-01-08 |
| 1760710966 | Tina Moore | Social Worker | 1681 Crown Ave, Suite 201, Lancaster, PA 17601-6303 | 2009-11-27 |
| 1467687855 | Tina Mckenzie Moore | Counselor | 2288 Second Street Pike Ste 6, Newtown, PA 18940-4108 | 2009-05-28 |
| 1851483523 | Tina L. Moore | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2006-09-29 |
| Street Address |
347 COVINGTON DR STE A |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-3287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497026512 | Candace Lee Diercks | Homemaker | 1844 W Ridgeway Ave, Waterloo, IA 50701-4546 | 2012-01-20 |
| 1780838243 | Covenant Medical Center, Inc. | Homemaker | 3241 W 9th St, Waterloo, IA 50702-5401 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201778 | Brandi Holmes | Homemaker | 8339 S Phillips Ave, Chicago, IL 60617-1931 | 2020-10-05 |
| 1023621364 | Antwaniqua White | Homemaker | 3500 S Lake Park Ave Apt 405, Chicago, IL 60653-1561 | 2020-08-26 |
| 1487265948 | Chris Bielanski | Homemaker | 504 Macarthur Dr, Urbana, IL 61802-4635 | 2020-08-10 |
| 1346865730 | Denise Serna | Homemaker | 3805 W 75th Pl, Chicago, IL 60652-1303 | 2020-06-11 |
| 1427680529 | Karen Eyvette Almodovar | Homemaker | 601 E End Ave, Hillside, IL 60162-1035 | 2020-02-06 |
| 1588200505 | Kathleen Marie Faucett | Homemaker | 220 Ridge Rd, North Aurora, IL 60542-9171 | 2019-11-25 |
| 1134764707 | Barbara Wetzstein | Homemaker | 14816 Lilac Ln, Woodstock, IL 60098-9656 | 2019-11-07 |
| 1548803109 | Filipina Laurel Sabay | Homemaker | 2515 W Winona St, Chicago, IL 60625-2504 | 2019-10-25 |
| 1649813643 | Family Care Services, Inc | Homemaker | 17680 South Kedzie Ave, Suite 106b, Hazel Crest, IL 60429-2043 | 2019-10-22 |
| 1679124895 | Shanta Shacole White | Homemaker | 7308 S Constance Ave, Chicago, IL 60649-3120 | 2019-09-28 |
| 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.