KELLI MOORE (NPI# 1770195380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770195380 |
| Entity Type | Individual |
| Full Name | KELLI MOORE |
| Credential | LSAA |
| Practice Address |
1235 8th St Las Vegas NM 87701-4219 |
| Mailing Address |
Po Box 158 Espanola NM 87532-0158 |
| Practice Telephone | 5054256788 |
| Practice Fax Number | 5054255408 |
| Mailing Telephone | 5057537218 |
| Mailing Fax Number | 5057477396 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | CSA0211311 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699243204 | Kelli Moore | Physician Assistant | 32270 Telegraph Rd Ste 110, Bingham Farms, MI 48025-2456 | 2018-11-13 |
| 1134554041 | Kelli Moore | Occupational Therapist | 4767 Painters Street, New Orleans, LA 70122 | 2013-09-10 |
| 1336502491 | Kelli Moore | Registered Nurse | 6300 N Main St, Dayton, OH 45415-3154 | 2016-04-05 |
| 1801207089 | Kelli Lyn Moore | Behavioral Analyst | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2014-05-09 |
| 1427391846 | Kelli Jo Moore | Radiology | One Hospital Dr, Columbia, MO 65212 | 2013-04-03 |
| 1841473055 | Kelli A Moore | Nurse Practitioner | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2007-12-11 |
| 1225051469 | Kelli Michelle Moore | Recreation Therapist | 1 Freedom Way, Recreation Therapy (294), Augusta, GA 30904-6258 | 2006-07-26 |
| Street Address |
1235 8TH ST |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497901 | Yvonne D Vanarsdale-imani | Family Medicine | 1235 8th St, Las Vegas, NM 87701-4219 | 2005-06-16 |
| 1376157024 | Rose Marie Mcdonald | Nurse Practitioner | 1235 8th St, Las Vegas, NM 87701-4219 | 2020-09-01 |
| 1427683549 | Francisca Cordova | Social Worker | 1235 8th St, Las Vegas, NM 87701-4219 | 2020-03-09 |
| 1821628306 | Jessica Turner | Social Worker | 1235 8th St, Las Vegas, NM 87701-4219 | 2020-01-23 |
| 1679122600 | Alba Melissa Weaver | Dentist | 1235 8th St, Las Vegas, NM 87701-4219 | 2019-09-11 |
| 1972151728 | Jesse Lee Baca | Counselor | 1235 8th St, Las Vegas, NM 87701-4219 | 2019-08-26 |
| 1295217818 | Laura Robinson | Family Medicine | 1235 8th St, Las Vegas, NM 87701-4219 | 2018-08-30 |
| 1972090629 | Nona A Collins | Social Worker | 1235 8th St, Las Vegas, NM 87701-4219 | 2018-04-18 |
| 1679929186 | Danyelle Romero | Nurse Practitioner | 1235 8th St, Las Vegas, NM 87701-4219 | 2016-05-13 |
| 1659752228 | Chelsea Renee Lucero | Counselor | 1235 8th St, Las Vegas, NM 87701-4219 | 2015-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839216 | Arisha Miller | Social Worker | 3433 Algiers Dr Apt 1189, Las Vegas, NV 89115-2848 | 2020-10-21 |
| 1457960825 | Samantha Moore | Social Worker | 6543 Las Vegas Blvd S, Las Vegas, NV 89119-3223 | 2020-07-30 |
| 1740898493 | Donna Lynn Green | Social Worker | 10000 S Maryland Pkwy Apt 2098, Las Vegas, NV 89183-6392 | 2020-07-20 |
| 1033727193 | Whitney Janeen Davis | Social Worker | 2580 N Rancho Dr Ste 106, Las Vegas, NV 89130-3361 | 2020-07-15 |
| 1255958799 | Joseph Patrick Minnick Jr. | Social Worker | 1320 Red Gable Ln Unit 102, Las Vegas, NV 89144-7012 | 2020-07-01 |
| 1679196414 | Electronic Tax Center | Social Worker | 3450 Tanto Cir, Las Vegas, NV 89121-5047 | 2020-05-27 |
| 1750917548 | Derick Lewis Butler | Social Worker | 6236 Eugene Ave, Las Vegas, NV 89108-3311 | 2020-03-12 |
| 1629601026 | Mended | Social Worker | 6797 Conquistador St, Las Vegas, NV 89149-1315 | 2020-02-14 |
| 1518504745 | Maria Ann Speed | Social Worker | 6160 Rumrill St Unit 218, Las Vegas, NV 89113-7108 | 2019-12-06 |
| 1730734732 | Apollonia Sade Allen | Social Worker | 8610 S Maryland Pkwy Apt 1067, Las Vegas, NV 89123-2725 | 2019-08-06 |
| Find all providers in LAS VEGAS | ||||
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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.