KYJANA DOMINIQUE MOORE (NPI# 1770110462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770110462 |
Entity Type | Individual |
Full Name | KYJANA DOMINIQUE MOORE |
Credential | LPN |
Practice Address |
1540 Country Club Rd Sherwood AR 72120-5095 |
Practice Telephone | 5017535459 |
Mailing Telephone | 5017535459 |
Enumeration Date | 2020-03-24 |
Last Update Date | 2020-03-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 121607 | AR | Nursing Service Providers |
Street Address |
1540 COUNTRY CLUB RD |
City | SHERWOOD |
State | AR |
Zip Code | 72120-5095 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861092603 | Abigail Rose Boehm | Occupational Therapist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-10-30 |
1598378820 | Kylie Rae Furman | Physical Therapist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-08-26 |
1306469408 | Bethany Grace Brown | Speech-Language Pathologist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-05-22 |
1104449578 | Mackenzie Dawn Carroll | Speech-Language Pathologist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-05-20 |
1083237507 | Elizabeth S White | Speech-Language Pathologist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-05-19 |
1881215051 | Meredith R Turner | Day Training/Habilitation Specialist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-04-29 |
1568083855 | Majenta A Wise | Licensed Practical Nurse | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-04-28 |
1659990802 | Leslie Kaye Garrett | Occupational Therapist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-04-08 |
1982242640 | Sarah Jeffrey Attwood | Speech-Language Pathologist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2019-12-12 |
1053969758 | Hallie Dawn Mossman | Physical Therapist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2019-08-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215409818 | Mary Kaye Hill | Physical Therapist | 6020 Warden Road, Sherwood, AR 72120 | 2018-12-20 |
1043714694 | Healthcare Express, LLP | Clinic/Center | 1554 Country Club Road, Sherwood, AR 72120 | 2018-03-20 |
1265957690 | Darryl Nathaniel Griffith | Massage Therapist | 9871 Brockington Road, Suite #1, Sherwood, AR 72120 | 2017-08-07 |
1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
1063803328 | The Legacy for Children and Families | Counselor | 190 Jan Drive, Suite #10, Sherwood, AR 72120 | 2015-02-09 |
1417297235 | Andrew Hunter Beavers | Counselor | 37 Walton Rd., Sherwood, AR 72120 | 2013-02-15 |
1003156886 | Infinity Hearing Center Inc. | Hearing Aid Equipment | 3115 E Kiehl Ave, Suite B, Sherwood, AR 72120 | 2013-02-15 |
1548543234 | Lorrie Ann George | Early Intervention Provider Agency | 207 Fred Rains Drive, Sherwood, AR 72120 | 2011-09-20 |
1033411897 | Tessa Monique Davis | Occupational Therapist | 21 Gunstock Lane, North Little Rock, AR 72120 | 2010-11-30 |
1720307903 | Yousef Arfan Fahoum | Psychologist | 2215 Wildwood Ave Ste 200, Sherwood, AR 72120 | 2010-05-27 |
Find all providers in zip 72120 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326194853 | Gwen Annette Jellish | Licensed Practical Nurse | N8160 Big Lake Ln, Sherwood, WI 54169-9666 | 2007-01-26 |
1568083855 | Majenta A Wise | Licensed Practical Nurse | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-04-28 |
1548742588 | Paula Kaye Doody-boatright | Licensed Practical Nurse | 207 Fred Rains Dr, Sherwood, AR 72120-5457 | 2018-09-06 |
1467952341 | Lanisha Renee Swopes | Licensed Practical Nurse | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2018-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417557646 | Carnisha Taylor | Licensed Practical Nurse | 1505 Jackson Ave, Hope, AR 71801-7835 | 2020-10-27 |
1891393740 | Christie Latonya Ware-jones | Licensed Practical Nurse | 715 Harris St, Hope, AR 71801-9102 | 2020-10-13 |
1508463001 | Natasha Kamika Finley | Licensed Practical Nurse | 520 N Oats St Apt 2103, Texarkana, AR 71854-5830 | 2020-10-07 |
1053926881 | Makayla Rae Devore | Licensed Practical Nurse | 81 Development Dr., Yellville, AR 72687 | 2020-09-09 |
1225641087 | Jayla Harris | Licensed Practical Nurse | 1407 S Texas St, Hope, AR 71801-7016 | 2020-08-30 |
1104452614 | Dondee Hill | Licensed Practical Nurse | 299 Morro Hill Rd, Brockwell, AR 72517-8886 | 2020-03-16 |
1346872983 | Ashley Marie Adams | Licensed Practical Nurse | 3705 E 35th St, Texarkana, AR 71854-2558 | 2020-02-11 |
1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
1144850710 | Whitley Nicole Caskey | Licensed Practical Nurse | 150 Little River 131, Foreman, AR 71836-8527 | 2020-01-22 |
1346899127 | Denesha Delancey | Licensed Practical Nurse | 1506 Merrill Dr Ste D220, Little Rock, AR 72211-1822 | 2019-09-05 |
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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.