KYJANA DOMINIQUE MOORE


Address: 1540 Country Club Rd, Sherwood, AR 72120-5095
Phone: 5017535459

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 121607 AR Nursing Service Providers

Office Location

Street Address 1540 COUNTRY CLUB RD
City SHERWOOD
State AR
Zip Code 72120-5095

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City SHERWOOD
Zip Code 72120

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Dataset Information

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.

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