JOAN M MOORE (NPI# 1699980987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699980987 |
| Entity Type | Individual |
| Full Name | JOAN M MOORE |
| Credential | ARNP |
| Practice Address |
305 Estill St Cpo 2174 Berea KY 40403-1742 |
| Mailing Address |
305 Estill Street Cpo 2174 Berea KY 40403-0001 |
| Practice Telephone | 8599853212 |
| Practice Fax Number | 8599853910 |
| Mailing Telephone | 8599853212 |
| Mailing Fax Number | 8599853910 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3001353 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 1353P | KY | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RN LICENSE | 1063917 | 01 |
| KY | ARNP LICENSE | 1353P | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770744252 | Joan Faye Moore | Counselor | 223 County Road 1749, Chico, TX 76431-3124 | 2008-06-18 |
| 1619024759 | Joan L Moore | Neuromusculoskeletal Medicine & OMM | Rt 1 Box 123 Anthony Creek Road, ., Frankford, WV 24938-0097 | 2007-01-04 |
| 1104308972 | Joan Michelle Moore | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2018-08-29 |
| 1912484437 | Joan Marie Moore | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2018-07-26 |
| 1821483231 | Joan Moore | Nurse Practitioner | 18450 Highway 59 N, Humble, TX 77338-4404 | 2015-04-02 |
| 1487774162 | Joan Lucille Moore | Registered Nurse | 7490 W Union Hills Dr, Glendale, AZ 85308-8151 | 2007-03-29 |
| 1528143617 | Joan Martin Moore | Clinical Nurse Specialist | 114 Woodland St, Hartford, CT 06105-1208 | 2006-10-26 |
| 1205923836 | Joan E Moore | Counselor | 4720 Kingsway Dr, Ste 400, Indianapolis, IN 46205-1555 | 2006-10-06 |
| Street Address |
305 ESTILL ST CPO 2174 |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295060 | Kristinalin Caldwell | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2005-06-15 |
| 1104393925 | Rebecca Brandenburg | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2018-10-30 |
| 1659703163 | Mahmoud A. Abualayem | Internal Medicine | 305 Estill St, 3rd Floor, Berea, KY 40403-1742 | 2013-08-07 |
| 1982955290 | Saint Joseph Health System Inc. | Clinic/Center | 305 Estill St, Berea, KY 40403-1742 | 2012-09-26 |
| 1306192059 | Resource Anesthesia Kentucky Inc | Specialist | 305 Estill St, Berea, KY 40403-1742 | 2012-07-31 |
| 1487913562 | Saint Joseph Medical Foundation, Inc. | Pain Medicine | 305 Estill St, 4th Floor, Berea, KY 40403-1742 | 2012-05-10 |
| 1780966408 | Derrick H Williams | Family Medicine | 305 Estill St, 4th Floor, Berea, KY 40403-1742 | 2011-09-20 |
| 1659650034 | Alberto Zarak | Surgery | 305 Estill St, Berea, KY 40403-1742 | 2011-08-16 |
| 1770861254 | Stephanie S. Mcguire | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2011-08-01 |
| 1144523911 | Saint Joseph Medical Foundation, Inc | Physician Assistant | 305 Estill St, Berea, KY 40403-1742 | 2010-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073096616 | Stephanie Jane Warren | Nurse Practitioner | 245 Prince Royal Dr Ste A, Berea, KY 40403-1471 | 2018-09-10 |
| 1366934853 | Brandi Lenay Botkin | Nurse Practitioner | 319 Bocote Dr, Berea, KY 40403-9584 | 2018-05-31 |
| 1184091563 | Tara Mcclure | Nurse Practitioner | 109 Slippery Rock Ln, Berea, OH 44017-3159 | 2015-09-01 |
| 1841507456 | Stephanie Diane Ferrell | Nurse Practitioner | 295 Paint Lick Rd, Berea, KY 40403-8078 | 2010-09-02 |
| 1902423429 | Sheryl Christine Aponte | Nurse Practitioner | 570 N Rocky River Dr, Berea, OH 44017-1613 | 2020-06-30 |
| 1093345977 | Adam Lee Deshong | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2020-01-20 |
| 1104393925 | Rebecca Brandenburg | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2018-10-30 |
| 1831600352 | Heather Whalen | Nurse Practitioner | 120 Jill Dr, Berea, KY 40403-1677 | 2017-10-24 |
| 1053847608 | Ciara Pruitt | Nurse Practitioner | 255 Front St, Berea, OH 44017-1943 | 2017-05-02 |
| 1982144143 | Kristin Morgan | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2017-03-06 |
| Find all providers in BEREA | ||||
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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.