MRS. SUZANNE F MOORE (NPI# 1710513239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710513239 |
Entity Type | Individual |
Full Name | MRS. SUZANNE F MOORE |
Credential | CALM |
Practice Address |
5801 Rayburn Dr Fort Worth TX 76133-3026 |
Mailing Address |
2321 S Belt Line Rd Ste 148 Grand Prairie TX 75051-4182 |
Practice Telephone | 6827072524 |
Practice Fax Number | 4696600065 |
Mailing Telephone | 2143965288 |
Mailing Fax Number | 4696600065 |
Enumeration Date | 2020-03-16 |
Last Update Date | 2020-03-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | DRIVER LICENSE | 20553605 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
3105 Avon Dr, Arlington, TX 760152002 | 6822524015 | 4696600065 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982964821 | Suzanne Peers Moore | Counselor | 93 Carey St, Elberton, GA 30635-1435 | 2012-05-25 |
1083225569 | Suzanne Charlotte Moore | Nurse Practitioner | 33205 Temecula Pkwy, Temecula, CA 92592-9142 | 2020-08-10 |
1942861075 | Suzanne Renee Moore | Social Worker | 233 Baseline Rd, La Verne, CA 91750 | 2019-06-28 |
1376917260 | Suzanne Moore | Developmental Therapist | 500 Fairway Dr, Suite 102, Deerfield Beach, FL 33441-1814 | 2015-11-16 |
1477860351 | Suzanne Moore | Licensed Vocational Nurse | 6700 W 9th Ave, Amarillo, TX 79106-1701 | 2010-09-13 |
1467608083 | Suzanne Michelle Moore | Social Worker | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2008-08-14 |
1396919502 | Suzanne Moore | Physical Therapy Assistant | 361 Windburn Ln, Grayson, KY 41143-8372 | 2008-04-17 |
1548306228 | Suzanne Leslie Moore | Registered Nurse | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2007-01-29 |
1730253410 | Suzanne Moore | Nurse Practitioner | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2006-11-17 |
Street Address |
5801 RAYBURN DR |
City | FORT WORTH |
State | TX |
Zip Code | 76133-3026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
Find all providers in zip 76133 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164923009 | Douglas Neil Detten | Adult Companion | 8101 Boat Club Rd Ste 318, Fort Worth, TX 76179-3633 | 2018-02-26 |
1194262030 | Summer Everett | Adult Companion | 4055 Gatwick Ct Apt 1008, Fort Worth, TX 76155-2854 | 2017-01-30 |
1134472665 | Karine Shufford | Adult Companion | 4505 Riptide Ct, Fort Worth, TX 76135-2044 | 2012-10-22 |
1083085070 | Yakia Collier | Adult Companion | 5601 Bridge St Ste 300, Fort Worth, TX 76112 | 2015-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607480 | Lisseth Carolina Bautista | Adult Companion | 25218 Spring Iris Ln, Katy, TX 77494-5580 | 2020-10-25 |
1417556689 | Angel's Place | Adult Companion | 909 Highland Dr, Kilgore, TX 75662-4040 | 2020-10-20 |
1134733397 | Edna Renee Phillips | Adult Companion | 3352 Jan Ct, Katy, TX 77493-1379 | 2020-09-04 |
1396355483 | J Person Inc Dba Living Word Home Care Service | Adult Companion | 1202 Evans Rd Apt 1225, San Antonio, TX 78258-6969 | 2020-08-04 |
1841808771 | Kidz Plus Medical Clinic | Adult Companion | 8613 Martin Luther King Blvd, Houston, TX 77033-2307 | 2020-07-16 |
1679199806 | Tammy Swan | Adult Companion | 4606 Fm 1960 Rd W Ste 640, Houston, TX 77069-4600 | 2020-06-23 |
1942826318 | Lacinder Roseann King | Adult Companion | 1205 Switchgrass Ln, Crowley, TX 76036-4341 | 2020-06-22 |
1841815768 | Bridget Danielle Hill | Adult Companion | 2417 Castle Creek Dr, Little Elm, TX 75068-4887 | 2020-06-16 |
1811512528 | Marina Martin Del Campo | Adult Companion | 11030 Oasis Dr, El Paso, TX 79936-1023 | 2020-06-09 |
1356972343 | Christopher E Graham | Adult Companion | 3006 Bee Caves Rd Ste A217, Austin, TX 78746-5849 | 2020-01-29 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76133 |
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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.