CHRISTA MELODY MOORE (NPI# 1740758762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740758762 |
| Entity Type | Individual |
| Full Name | CHRISTA MELODY MOORE |
| Credential | PMHNP |
| Practice Address |
1305 E Butte Ave Florence AZ 85132-9221 |
| Practice Telephone | 5208684011 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP11789 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427598499 | Christa Moore | Dental Hygienist | 2527 Burnhaven Ln, Bellingham, WA 98226-1762 | 2017-02-24 |
| 1578191284 | Christa Moore | Chiropractor | 768 Shoreline Dr, Aurora, IL 60504-6192 | 2020-03-29 |
| 1740771138 | Christa Sharmain Moore | Case Manager/Care Coordinator | 1301 N High St, Columbus, OH 43201-2460 | 2018-05-22 |
| 1265931745 | Christa Moore | Counselor | 14532 Us Highway 23, Waverly, OH 45690-9373 | 2018-02-09 |
| 1063438026 | Christa Heidi Moore | Nurse Practitioner | 888 Swift Blvd, Richland, WA 99352-3514 | 2006-07-14 |
| Street Address |
1305 E BUTTE AVE |
| City | FLORENCE |
| State | AZ |
| Zip Code | 85132-9221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255566477 | State of Arizona Department of Corrections | Clinic/Center | 1305 E Butte Ave, Florence, AZ 85232 | 2009-05-18 |
| 1265031496 | Samantha Ellen Fullmer | General Practice | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2020-10-19 |
| 1023670338 | Amanda Marie Carroll | Dentist | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2019-07-08 |
| 1073038824 | Dorothy Chinyere Igwe | Nurse Practitioner | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2017-08-12 |
| 1194957670 | Jennifer Mandigo | Counselor | 1305 E Butte Ave, Florence, AZ 85132-9221 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905648 | Katherine Gastelum | Specialist/Technologist | 2700 North Anthem Way, Florence, AZ 85132 | 2019-07-26 |
| 1003309238 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste B, Florence, AZ 85132 | 2018-06-12 |
| 1821594136 | Jeremiah David Johnson | Internal Medicine | 971 N. Jason Lopez Circle Bldg B, Florence, AZ 85132 | 2018-04-04 |
| 1174022990 | Nicholas Ryan Bibeau | Physical Therapist | 4374 East Butte Avenue, Florence, AZ 85132 | 2018-02-07 |
| 1598289464 | Cyrus Faramroze Austin | Dentist | 1100 Bowling Rd., Florence, AZ 85132 | 2017-08-01 |
| 1477082642 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste A, Florence, AZ 85132 | 2017-06-09 |
| 1083150205 | Sanna Neff | Nurse Practitioner | 495 N Pinal Pkwy Ste 106, Florence, AZ 85132 | 2017-01-11 |
| 1114322807 | Affinity Physical Therapy, LLC | Physical Therapist | 350 S Main Street, Florence, AZ 85132 | 2014-10-24 |
| 1083018923 | Ryan William Taylor | Nurse Practitioner | 1155 N. Pinal Parkway, Central Az Detention Center, Florence, AZ 85132 | 2014-10-21 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| Find all providers in zip 85132 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
| 1467018390 | Latonya Jaton Mcgowan | Nurse Practitioner | 1393 Old Pearson Rd, Florence, MS 39073-9468 | 2019-05-16 |
| 1154860153 | Serenus Senior Care Advisors Pllc | Nurse Practitioner | 158 Heathrow Dr, Florence, AL 35633-1570 | 2017-02-23 |
| 1780843656 | Sapphire Psychiatric Health Care Services, Inc | Nurse Practitioner | 5527 Old Hwy 93, Suite C, Florence, MT 59833-6570 | 2008-06-05 |
| 1154503845 | Mimi Lemaire Morris | Nurse Practitioner | 5527 Old Highway 93, Suite C, Florence, MT 59833-6564 | 2007-12-04 |
| 1861582173 | Karen Marie Sander-buscemi | Nurse Practitioner | 10 Main St Ste 3, Florence, MA 01062-3158 | 2006-10-15 |
| 1073596995 | Jane G Pittenger | Nurse Practitioner | 1495 W 8th, Florence, OR 97439 | 2005-11-23 |
| 1013527837 | Dixie Lee Zimmerman | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2020-08-06 |
| 1629686043 | Althea Granger | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2020-07-22 |
| 1194296269 | Leah Anne King | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-12-16 |
| Find all providers in FLORENCE | ||||
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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.