SHEENA MOORE (NPI# 1770029068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770029068 |
| Entity Type | Individual |
| Full Name | SHEENA MOORE |
| Credential | APRN-CNP |
| Practice Address |
915 W Emma Ave Coeur D Alene ID 83814-2531 |
| Practice Telephone | 2086651700 |
| Practice Fax Number | 2086678649 |
| Mailing Telephone | 2086651700 |
| Mailing Fax Number | 2086678649 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
55267 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093345704 | Sheena Moore | Social Worker | 1303 Excel Dr, Killeen, TX 76542-5839 | 2020-01-22 |
| 1750870176 | Sheena Moore | Physical Therapist | 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033-3194 | 2018-05-02 |
| 1154872760 | Sheena Moore | Marriage & Family Therapist | 200 Michigan Ave, Vista, CA 92084-5424 | 2016-10-18 |
| Street Address |
915 W EMMA AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609044478 | Spokane Vamc | Clinic/Center | 915 W Emma Ave, Coeur D Alene, ID 83814-2531 | 2008-02-14 |
| 1104465558 | Shelly Crane | Nurse Practitioner | 915 W Emma Ave, Coeur D Alene, ID 83814-2531 | 2020-01-02 |
| 1578007183 | Department of Veterans Affairs | Clinic/Center | 915 W Emma Ave, Coeur D Alene, ID 83814-2531 | 2016-12-16 |
| 1740521038 | Caitlin Etain Stevens | Social Worker | 915 W Emma Ave, Coeur D Alene, ID 83814-2531 | 2013-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617347 | Kristina Oliver | Nurse Practitioner | 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814-2668 | 2020-10-19 |
| 1538539143 | Nancy Mae Hunter | Nurse Practitioner | 1042 W Mill Ave Ste 101b, Coeur D Alene, ID 83814 | 2015-09-25 |
| 1326144932 | Lynda J Arnold | Nurse Practitioner | 296 W Sunset Ave Ste 14, Coeur D Alene, ID 83815-8367 | 2006-09-15 |
| 1962431825 | Michael Edward Szymanski | Nurse Practitioner | 1800 Lincoln Way, Suite 202, Coeur D Alene, ID 83814 | 2006-07-02 |
| 1790739175 | Denise F Sweeney | Nurse Practitioner | 1052 W Mill Ave, Coeur D Alene, ID 83814-2444 | 2006-05-20 |
| 1104878867 | Valerie M Kastens | Nurse Practitioner | 916 W Ironwood Dr, Coeur D Alene, ID 83814-2642 | 2006-05-17 |
| 1568459816 | Laine Dean Hughes | Nurse Practitioner | 980 W. Ironwood Drive, Suite 302, Coeur D Alene, ID 83814-9998 | 2005-10-03 |
| 1134720196 | Kate Elizabeth Reidy | Nurse Practitioner | 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 | 2020-11-05 |
| 1306468483 | Kelli Ann Grambeau | Nurse Practitioner | 110 E Wallace Ave, Coeur D Alene, ID 83814-2948 | 2020-05-12 |
| 1356992309 | Kendall Ann Gunderson | Nurse Practitioner | 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401 | 2019-09-21 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on SHEENA MOORE.
| 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.