MRS. SUZANNE F MOORE


Address: 5801 Rayburn Dr, Fort Worth, TX 76133-3026
Phone: 6827072524

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 372600000X Adult Companion Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX DRIVER LICENSE 20553605 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3105 Avon Dr, Arlington, TX 760152002 6822524015 4696600065

Other Providers SUZANNE MOORE

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

Office Location

Street Address 5801 RAYBURN DR
City FORT WORTH
State TX
Zip Code 76133-3026

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City FORT WORTH
Zip Code 76133

Improve Information

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Dataset Information

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.

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