SAUNDRA SMITH MOORE (NPI# 1700332269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700332269 |
| Entity Type | Individual |
| Full Name | SAUNDRA SMITH MOORE |
| Credential | SCHOOL PSYCHOLOGIST |
| Practice Address |
225 N Water Ave Tahlequah OK 74464-2825 |
| Practice Telephone | 9184584100 |
| Mailing Telephone | 9184584100 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
150688 | OK | Behavioral Health & Social Service Providers |
| Street Address |
225 N WATER AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-2825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346320322 | Tahlequah Public Schools | Local Education Agency (LEA) | 225 N Water Ave, Tahlequah, OK 74464-2825 | 2006-10-16 |
| 1346794203 | Stevie Furra | Nurse's Aide | 225 N Water Ave, Tahlequah, OK 74464-2825 | 2016-08-09 |
| 1003360884 | Jesse Smith | Nurse's Aide | 225 N Water Ave, Tahlequah, OK 74464-2825 | 2016-08-09 |
| 1689027450 | Megan Guthrie | Speech-Language Pathologist | 225 N Water Ave, Tahlequah, OK 74464-2825 | 2016-07-18 |
| 1811340698 | Anita L Kirk | Nurse's Aide | 225 N Water Ave, Tahlequah, OK 74464-2825 | 2016-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588947808 | Melissa Ann Morris | Psychologist | 1140 Mayberry Dr, Tahlequah, OK 74464-4603 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808274 | Laticia D Vacca | Psychologist | 210 N Magnolia, Stratford, OK 74872-4808 | 2020-10-09 |
| 1972136455 | Kristin Clouser | Psychologist | 10141 S 92nd East Ave, Tulsa, OK 74133-6932 | 2020-02-12 |
| 1891148045 | Emily Anderson | Psychologist | 10220 Lyndon Rd, Oklahoma City, OK 73120-4206 | 2016-07-22 |
| 1306216742 | Christopher John Klein | Psychologist | 6216 S Lewis Ave Ste 138, Tulsa, OK 74136-1084 | 2015-09-28 |
| 1952783342 | Lisa Pate | Psychologist | 407 Hughes Dr, Poteau, OK 74953-5437 | 2015-06-23 |
| 1700286069 | Kimberly Tedford | Psychologist | 117 Elwood Dr, Edmond, OK 73013-4413 | 2014-08-23 |
| 1174934350 | Stacy Mckinney | Psychologist | 18000 Highway 105, Meridian, OK 73058-9671 | 2014-05-09 |
| 1528402989 | Dede Marann Stephens | Psychologist | 5085 S. Hwy 48, Coleman, OK 73432-0219 | 2013-04-29 |
| 1134469505 | Sue E Hoppe | Psychologist | 155 West Peterson Drive, Mead, OK 73449 | 2013-02-22 |
| 1679819015 | Lacori C Bryant | Psychologist | 100 W Wilshire Blvd # 220, Oklahoma City, OK 73116-9050 | 2012-12-12 |
| 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.