MRS. SHELLY M MOORE (NPI# 1750715926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750715926 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY M MOORE |
| Credential | C.P.M. |
| Practice Address |
696 Roy Grider Rd Summer Shade KY 42166-7631 |
| Practice Telephone | 2705908513 |
| Mailing Telephone | 2705908513 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657037 | Shelly L. Moore | Nurse Practitioner | 1263 Elk St, Franklin, PA 16323-1312 | 2005-05-27 |
| 1487137485 | Shelly Moore | Developmental Therapist | 5532 Jfk Blvd, North Little Rock, AR 72116-6708 | 2018-09-14 |
| 1730535022 | Shelly Moore | Occupational Therapy Assistant | 18504 Bothell Way Ne, Bothell, WA 98011-1927 | 2016-05-05 |
| 1205176039 | Shelly Ann Moore | Specialist | 34 Margaret Dr, Queensbury, NY 12804-9164 | 2013-02-14 |
| 1558520353 | Shelly Moore | Physical Therapy Assistant | 2641 S C St, Oxnard, CA 93033-4502 | 2008-06-05 |
| Street Address |
696 ROY GRIDER RD |
| City | SUMMER SHADE |
| State | KY |
| Zip Code | 42166-7631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568822997 | Renee Elizabeth Rojas | Midwife | 696 Roy Grider Rd, Summer Shade, KY 42166-7631 | 2016-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861890485 | April Ramey | Doula | 258 Antioch Church Rd, Summer Shade, KY 42166-8426 | 2014-12-12 |
| 1396074001 | Shirley Jean Hammer | Speech-Language Pathologist | 43 Billy Ferguson Rd, Summer Shade, KY 42166-8643 | 2009-12-09 |
| 1518144070 | Barren River District Health Department | Public Health or Welfare | 235 Nobob Summer Shade Rd, Summer Shade, KY 42166-9412 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861890485 | April Ramey | Doula | 258 Antioch Church Rd, Summer Shade, KY 42166-8426 | 2014-12-12 |
| 1396074001 | Shirley Jean Hammer | Speech-Language Pathologist | 43 Billy Ferguson Rd, Summer Shade, KY 42166-8643 | 2009-12-09 |
| 1518144070 | Barren River District Health Department | Public Health or Welfare | 235 Nobob Summer Shade Rd, Summer Shade, KY 42166-9412 | 2008-01-28 |
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568822997 | Renee Elizabeth Rojas | Midwife | 696 Roy Grider Rd, Summer Shade, KY 42166-7631 | 2016-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492733 | Jennifer Lee West | Midwife | 1625 Plum Springs Rd, Bowling Green, KY 42101-0745 | 2020-09-16 |
| 1356838692 | Audrey Stewart | Midwife | 2216 Highway 90, Corbin, KY 40701-8857 | 2018-04-20 |
| 1649770397 | Bianca Graciela Weaver | Midwife | 9880 Angies Way Ste 350, Louisville, KY 40241-2852 | 2018-02-20 |
| 1992218358 | Hanna Marie Strickland | Midwife | 1623 S Fork Creek Rd, Liberty, KY 42539-7872 | 2017-11-08 |
| 1003327354 | Mary Sue Harman | Midwife | 411 N Keeneland Dr Apt 2, Richmond, KY 40475-8590 | 2017-10-13 |
| 1942618764 | Juliet Lavely Dietsch | Midwife | 1611 Bardstown Rd, Louisville, KY 40205-1209 | 2014-07-24 |
| 1508282211 | Aundria Radmacher | Midwife | 311 Wallace Ave Ste 313, Louisville, KY 40207-3007 | 2014-03-06 |
| 1255607073 | Elizabeth A Regan | Midwife | 103 Jolomic Ln, Georgetown, KY 40324-9381 | 2012-03-27 |
| 1871799759 | Candace E. Robinson | Midwife | 111 Blue Heron Way, Lancaster, KY 40444-9556 | 2007-06-26 |
| 1730218561 | Wantina Wynette Brooks | Midwife | 6044 Taylor Dr Apt 80, Burlington, KY 41005-8548 | 2007-03-05 |
| Find all providers with the same taxonomy | ||||
| City | SUMMER SHADE |
| Zip Code | 42166 |
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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.