MRS. STEPHANIE ALICE MOORE (NPI# 1730420688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730420688 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE ALICE MOORE |
| Credential | RD |
| Practice Address |
340 Eisenhower Drive Suite 1200 Savannah GA 31406 |
| Mailing Address |
210 East Derenne Avenue Attn - Marc Nettles Savannah GA 31405 |
| Practice Telephone | 9124434200 |
| Practice Fax Number | 9123558124 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L0002834 | GA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299265 | Stephanie Angela Moore | Nurse Practitioner | 10850 Navajo Dr, New Port Richey, FL 34654-5233 | 2020-06-10 |
| 1174143432 | Stephanie Moore | Behavior Technician | 3205 N Dustin Ave, Farmington, NM 87401-9229 | 2020-04-16 |
| 1386113421 | Stephanie Jade Moore | Counselor | 1104 Vine Street, Batesville, AR 72501-8638 | 2018-11-19 |
| 1609371285 | Stephanie Michelle Moore | Physical Therapy Assistant | 11618 Us Hwy 70 W Ste 100, Clayton, NC 27520-2276 | 2018-03-27 |
| 1134639891 | Stephanie Moore | Counselor | 418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 | 2017-10-09 |
| 1851711337 | Stephanie Moore | Health Educator | 2438 Laconia Avenue, Bronx, NY 10469 | 2014-04-23 |
| 1467752584 | Stephanie K Moore | Social Worker | 308 Indigo Drive, Cary, NC 27513-3322 | 2010-10-22 |
| 1275789448 | Stephanie Strong Moore | Dentist | 2025 Glennfield Lane, Augusta, GA 30909 | 2008-08-07 |
| 1376676585 | Stephanie Moore | Behavioral Analyst | 3904 Seasons Pt, Evansville, IN 47715-1389 | 2007-03-14 |
| 1740261486 | Stephanie A Moore | Internal Medicine | 55 Fruit St # 800, Department of Cardiovascular Medicine, Boston, MA 02114-2621 | 2005-11-09 |
| Street Address |
340 EISENHOWER DRIVE SUITE 1200 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184602526 | Robert M Osborne Jr. | Dentist | 340 Eisenhower Drive, Building 400, Savannah, GA 31406 | 2006-01-05 |
| 1740481993 | Kelly Deomellas Lindley | Physician Assistant | 340 Eisenhower Drive, Suite 1200, Savannah, GA 31406 | 2007-05-29 |
| 1205950482 | Jan Phillippi Horn | Psychologist | 340 Eisenhower Drive, 710 Central Park Building 700, Savannah, GA 31406 | 2007-03-16 |
| 1356410112 | Sandra Kay Bohnstengel | Family Medicine | 340 Eisenhower Drive, Ste.610, Savannah, GA 31406-5828 | 2006-11-07 |
| 1033139191 | Mary E Mccourt | Nurse Practitioner | 340 Eisenhower Drive, Suite 1200, Savannah, GA 31406 | 2006-07-20 |
| 1750320073 | Steven K. Corse | Internal Medicine | 340 Eisenhower Drive, Suite 1200, Savannah, GA 31406 | 2006-06-05 |
| 1952349813 | Paul S Bradley | Internal Medicine | 340 Eisenhower Drive, Suite 1200, Savannah, GA 31406 | 2006-06-03 |
| 1346228673 | Joseph W Pischke IIi | Dentist | 340 Eisenhower Drive, Building 400, Savannah, GA 31406 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857149 | Christine Marie Rives | Dietitian, Registered | 4 Skidaway Village Walk, Savannah, GA 31411-2914 | 2020-10-06 |
| 1043845332 | Meghann Calhoun Buchanan | Dietitian, Registered | 134 Brown Pelican Dr, Savannah, GA 31419-2924 | 2020-03-06 |
| 1619517596 | Ashley Annette Fivecoate | Dietitian, Registered | 9 White Pine Ct, Savannah, GA 31406-8235 | 2020-01-08 |
| 1336782713 | Jenna Koellner | Dietitian, Registered | 35 Barnard St Ste 318, Savannah, GA 31401-2500 | 2019-10-18 |
| 1457820060 | Amy Elsasser | Dietitian, Registered | 128 E 39th St, Savannah, GA 31401-9018 | 2018-11-13 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1033583406 | Trudicia Herod | Dietitian, Registered | 409 E Huntingdon St, Savannah, GA 31401-5718 | 2015-11-22 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1326465816 | Eric Lutzenberger | Dietitian, Registered | 223 Laurelwood Dr, Savannah, GA 31419-9158 | 2014-03-24 |
| 1649557190 | Sonya Glle Hopson | Dietitian, Registered | 95 Cherokee Trl, Savannah, TN 38372-1114 | 2011-11-11 |
| Find all providers in SAVANNAH | ||||
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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.