TRACEY D. MOORE (NPI# 1720188022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720188022 |
| Entity Type | Individual |
| Full Name | TRACEY D. MOORE |
| Credential | NP |
| Practice Address |
214 E 23rd St Cheyenne Regional Medical Center, Emergency Dept. Cheyenne WY 82001-3748 |
| Mailing Address |
1241 W Mineral Ave Suite 100 Littleton CO 80120-5685 |
| Practice Telephone | 3076342273 |
| Practice Fax Number | 3076337671 |
| Mailing Telephone | 3037590854 |
| Mailing Fax Number | 3037590864 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
175880851 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 123828100 | 05 | |
| WY | BCBS | 314502 | 01 |
| CO | 35177837 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306491311 | Tracey D Moore | Registered Nurse | 1124 Cameron St, Ansley, NE 68814-0370 | 2019-08-06 |
| 1780850438 | Tracey Moore | Counselor | 1227 Hwy 77, Suite 2, Marion, AR 72364 | 2008-05-02 |
| 1548371073 | Tracey Lynn Moore | Pharmacist | 5684 Moonstone Loop Se, Salem, OR 97306-3517 | 2006-08-31 |
| 1164069860 | Tracey Lee Moore | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163-2703 | 2019-12-02 |
| 1184105090 | Tracey Moore | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2018-08-28 |
| 1730329962 | Tracey Renee Moore | Licensed Practical Nurse | 830 Ezzard Charles Dr, Cincinnati, OH 45214 | 2009-02-27 |
| 1487783635 | Tracey L. Moore | Pharmacy Technician | 1010 W Columbia St, Farmington, MO 63640-2902 | 2007-03-05 |
| 1144363854 | Tracey Rae Moore | Counselor | 619 N Main St, Muskogee, OK 74401-4431 | 2007-02-14 |
| Street Address |
214 E 23RD ST CHEYENNE REGIONAL MEDICAL CENTER, EMERGENCY DEPT. |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578556445 | Mindy Dawn Rasmussen | Pharmacist | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2005-08-25 |
| 1174124440 | Rachel Lynn Tenpenny-chigas | Dietitian, Registered | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2020-11-03 |
| 1033724661 | Jannene Sneddon Sebesta | Nurse Practitioner | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2020-09-10 |
| 1457962672 | Liya Rodovskaya | Nurse Practitioner | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2020-08-11 |
| 1235765363 | Kendra Dawn Rono | Registered Nurse | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2020-03-20 |
| 1952936932 | Marianne Denton | Registered Nurse | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2020-03-10 |
| 1952949240 | Alice M Jacobson | Physician Assistant | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2019-12-17 |
| 1306483300 | Sheena Lee Pacheco | Nurse Practitioner | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2019-12-09 |
| 1356985600 | Summit Hospitalist Group LLC | Hospitalist | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2019-10-30 |
| 1386286433 | Andrea Williams | Physical Therapist | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844463 | Lara Vanden Hoek | Nurse Practitioner | 3339 Hales Ranch Rd, Cheyenne, WY 82007-1825 | 2020-09-04 |
| 1649897406 | Anne Barnes | Nurse Practitioner | 4003 Rawlins St Ste A, Cheyenne, WY 82001-1800 | 2020-06-28 |
| 1184266058 | Kelsie Anderson | Nurse Practitioner | 1423 W 31st St, Cheyenne, WY 82001-2458 | 2019-10-11 |
| 1831660430 | Jennifer Asher Martin | Nurse Practitioner | 4920 E 6th St, Cheyenne, WY 82001-6930 | 2018-12-08 |
| 1184108763 | Joyce Laree Larsen | Nurse Practitioner | 1919 Central Ave, Cheyenne, WY 82001-3742 | 2018-09-20 |
| 1396234902 | Mikal Phillips Edwards | Nurse Practitioner | 101 F K Buster Ave, Cheyenne, OK 73628 | 2018-05-09 |
| 1205241627 | Rasha Mohamed Riad | Nurse Practitioner | 800 East 20th Street, 300, Cheyenne, WY 82001 | 2014-06-24 |
| 1831447333 | Laura Beth Torrez | Nurse Practitioner | 4136 Laramie St # B, Cheyenne, WY 82001-1969 | 2012-08-15 |
| 1932471133 | Jill E. Girany | Nurse Practitioner | 4003 Rawlins St, Cheyenne, WA 82001 | 2012-02-02 |
| 1417226994 | Maria Elvira Mullikin | Nurse Practitioner | 214 East 23rd, Cheyenne, WY 82001 | 2011-12-29 |
| Find all providers in CHEYENNE | ||||
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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.