BRENDA GAIL MOORE (NPI# 1699388306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699388306 |
| Entity Type | Individual |
| Full Name | BRENDA GAIL MOORE |
| Practice Address |
1441 Right Fork Bull Creek Rd Crum WV 25669-8081 |
| Practice Telephone | 3043933381 |
| Mailing Telephone | 3043933381 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952806986 | Brenda Moore | Dental Hygienist | 7223 Mississippi Ave Building 2157, Fort Polk, LA 71459 | 2018-03-30 |
| 1386957090 | Brenda Margaret Moore | Licensed Practical Nurse | 5502 St. Rt 36, #48, Mt Morris, NY 14510 | 2010-07-22 |
| 1184865628 | Brenda Jo Moore | Massage Therapist | 3560 National Dr, Suite 100, Medford, OR 97504-4008 | 2009-03-12 |
| 1477690246 | Brenda Lesia Moore | Dentist | 908 34th Ave. N., A, Nashville, TN 37209-2502 | 2007-01-31 |
| 1356370605 | Brenda Moore | Counselor | 1906 Hwy. 54, Suite 200, Durham, NC 27713 | 2006-06-30 |
| 1902416357 | Brenda Moore | Case Manager/Care Coordinator | 42 County Center Dr, Oroville, CA 95965-3335 | 2020-07-31 |
| 1548787765 | Brenda Moore | Counselor | 305 Pacific Ave S Ste 102, Kelso, WA 98626-1638 | 2017-08-28 |
| 1679946214 | Brenda Moore | Counselor | 435 E 119th St, New York, NY 10035-3627 | 2015-11-04 |
| 1265815815 | Brenda J Moore | Counselor | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2015-07-01 |
| 1144508417 | Brenda L. Moore | Counselor | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2011-08-03 |
| Street Address |
1441 RIGHT FORK BULL CREEK RD |
| City | CRUM |
| State | WV |
| Zip Code | 25669-8081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633987 | Misty Rose Thacker | Technician | 230 Webb Road, Crum, WV 25669 | 2020-09-09 |
| 1922611672 | Heather Angela Finley | Technician | 226 Riverbend Road, Crum, WV 25669 | 2020-08-24 |
| 1801046487 | Strosnider Drug | Pharmacy | Rt 52 Stonecoal, Crum, WV 25669 | 2008-09-19 |
| 1316084528 | Melissa Dawn Ledson | Physical Therapist | Us 52 Stonecoal Suite 2, Crum, WV 25669 | 2007-01-30 |
| 1356426944 | Justice Medical Complex | Family Medicine | Rr Box 330 Us Hwy 52, Kermit, WV 25669 | 2006-10-25 |
| 1780649087 | Rachel Sue Baisden | Nurse Practitioner | Us 52 Stone Coal, Crum, WV 25669-1011 | 2006-04-19 |
| 1689286734 | Geraldine Lynn Macura | Technician | 751 Upper Silver Creek Rd, Crum, WV 25669-8008 | 2020-08-20 |
| 1851990881 | Sabrina Faye Butterbach | Technician | 3866 River Bend Rd, Crum, WV 25669-8018 | 2020-10-21 |
| 1063019719 | Catherine Taylor | Technician | 194 Summers Fork Rd, Crum, WV 25669-8055 | 2020-10-06 |
| 1063023331 | Earlene Copley | Technician | 3818 Webb Rd, Crum, WV 25669-8092 | 2020-08-11 |
| Find all providers in zip 25669 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990881 | Sabrina Faye Butterbach | Technician | 3866 River Bend Rd, Crum, WV 25669-8018 | 2020-10-21 |
| 1215534987 | Cynthia Lynn Bowen | Technician | 3952 River Bend Rd, Crum, WV 25669-8125 | 2020-10-06 |
| 1063019719 | Catherine Taylor | Technician | 194 Summers Fork Rd, Crum, WV 25669-8055 | 2020-10-06 |
| 1124633987 | Misty Rose Thacker | Technician | 230 Webb Road, Crum, WV 25669 | 2020-09-09 |
| 1295348944 | Stephanie Jude | Technician | 29 Pj Ln, Crum, WV 25669-8100 | 2020-08-24 |
| 1922611672 | Heather Angela Finley | Technician | 226 Riverbend Road, Crum, WV 25669 | 2020-08-24 |
| 1053923094 | Bethany Sue Farley | Technician | 7578 Webb Rd, Crum, WV 25669-8109 | 2020-08-20 |
| 1689286734 | Geraldine Lynn Macura | Technician | 751 Upper Silver Creek Rd, Crum, WV 25669-8008 | 2020-08-20 |
| 1659982544 | Elizabeth L Chaffin | Technician | 24 Chaffin Ln, Crum, WV 25669-8101 | 2020-08-13 |
| 1063023331 | Earlene Copley | Technician | 3818 Webb Rd, Crum, WV 25669-8092 | 2020-08-11 |
| Find all providers in CRUM | ||||
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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.