MRS. LISA S MOORE (NPI# 1730240326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730240326 |
Entity Type | Individual |
Full Name | MRS. LISA S MOORE |
Credential | ARNP |
Practice Address |
816 Se Ocean Blvd Suite B Stuart FL 34994-2428 |
Practice Telephone | 7722200033 |
Mailing Telephone | 7722200033 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2014-06-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9166216 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
1114525813 | Lisa Michelle Moore | Homemaker | 2541 Rockcastle Ct, Miamisburg, OH 45342-7259 | 2020-10-14 |
1851913693 | Lisa Moore | Home Health Aide | 2208 Perry Ave, Edgewood, MD 21040-2806 | 2020-05-14 |
1275099954 | Lisa Moore | Nurse Practitioner | 6 Misty Glen Ct, Irmo, SC 29063-8134 | 2019-02-18 |
1336643410 | Lisa Marcella Moore | Nurse Practitioner | 500 W. Votaw Street, Portland, IN 47371 | 2018-03-22 |
1831628494 | Lisa Moore | Counselor | 2714 Tupelo St, Lake Charles, LA 70601-7376 | 2017-06-07 |
1801348818 | Lisa Moore | Specialist | 2147 Skyview Dr, Fayetteville, NC 28304-5126 | 2016-10-26 |
1679955801 | Lisa Moore | Nurse Anesthetist, Certified Registered | 1481 Meads, Orange, CA 92869 | 2015-06-24 |
1689068751 | Lisa Moore | Registered Nurse | 748 Addington Dr, Winterville, NC 28590-7102 | 2015-03-26 |
1700292190 | Lisa Moore | Nurse's Aide | 2765 Bramblebush Ct, Columbus, OH 43224-2505 | 2014-07-07 |
Street Address |
816 SE OCEAN BLVD SUITE B |
City | STUART |
State | FL |
Zip Code | 34994-2428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700979515 | Walter D Devault IIi | Internal Medicine | 816 Se Ocean Blvd, Stuart, FL 34994-2428 | 2006-10-02 |
1740810613 | Jeniffer Won | Nurse Practitioner | 816 Se Ocean Blvd, Stuart, FL 34994-2428 | 2020-01-20 |
1700416880 | Vera Rastrelli | Nurse Practitioner | 816 Se Ocean Blvd, Stuart, FL 34994-2428 | 2020-01-17 |
1821416488 | Moore Primary Care LLC | Nurse Practitioner | 816 Se Ocean Blvd, Suite B, Stuart, FL 34994-2428 | 2014-04-01 |
1932496783 | Mobile Medical Associates, P.l. | Internal Medicine | 816 Se Ocean Blvd, Suite B, Stuart, FL 34994-2428 | 2011-06-30 |
1023299609 | Walter D. Devault IIi M.d. P.a. | Internal Medicine | 816 Se Ocean Blvd, Stuart, FL 34994-2428 | 2007-11-23 |
1710068606 | Mary Patricia Ettari | Physician Assistant | 816 Se Ocean Blvd, Stuart, FL 34994-2428 | 2006-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
Find all providers in zip 34994 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316563927 | Justin M Dowd | Nurse Practitioner | 5702 Se Hull St, Stuart, FL 34997-2407 | 2020-06-19 |
1689206856 | Janine Benedetto | Nurse Practitioner | 1600 Sw Belgrave Ter, Stuart, FL 34997-7069 | 2020-02-06 |
1417504564 | Heather Michelle Hershberger | Nurse Practitioner | 1800 Sw Hackman Ter, Stuart, FL 34997-7006 | 2019-08-23 |
1447810825 | Allison Nicole Rudd | Nurse Practitioner | 2220 Se Ocean Blvd Ste 301, Stuart, FL 34996-3301 | 2019-06-18 |
1306313523 | Leah Nicole Catullo | Nurse Practitioner | 260 Se Cardinal Trl, Stuart, FL 34997-7304 | 2018-10-25 |
1275018731 | Heather Marie Hilton | Nurse Practitioner | 501 Se Osceola St Ste 100, Stuart, FL 34994-2302 | 2018-10-01 |
1528558822 | Shweta Frechette | Nurse Practitioner | 2221 Se Ocean Blvd Ste 100, Stuart, FL 34996 | 2018-05-14 |
1578067435 | Cassandra A Jackson | Nurse Practitioner | 298 Sw Walking Path, Stuart, FL 34997-3038 | 2018-03-23 |
1538686977 | Deborah Suzanne Swain | Nurse Practitioner | 2675 Nw South Shore Rd, Stuart, FL 34994-9162 | 2017-08-25 |
1710401104 | Sandra Velasquez | Nurse Practitioner | 1050 Se Monterey Rd Ste 203, Stuart, FL 34994-4512 | 2017-07-27 |
Find all providers in STUART |
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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.