TRACEY MOORE (NPI# 1780850438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780850438 |
Entity Type | Individual |
Full Name | TRACEY MOORE |
Credential | CASE MANAGER |
Practice Address |
1227 Hwy 77, Suite 2 Marion AR 72364 |
Mailing Address |
5537 Bleaux Ave Springdale AR 72762-0737 |
Practice Telephone | 8703944643 |
Practice Fax Number | 8703944646 |
Mailing Telephone | 4798725580 |
Mailing Fax Number | 4798725581 |
Enumeration Date | 2008-05-02 |
Last Update Date | 2011-07-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306491311 | Tracey D Moore | Registered Nurse | 1124 Cameron St, Ansley, NE 68814-0370 | 2019-08-06 |
1548371073 | Tracey Lynn Moore | Pharmacist | 5684 Moonstone Loop Se, Salem, OR 97306-3517 | 2006-08-31 |
1164069860 | Tracey Lee Moore | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163-2703 | 2019-12-02 |
1184105090 | Tracey Moore | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2018-08-28 |
1730329962 | Tracey Renee Moore | Licensed Practical Nurse | 830 Ezzard Charles Dr, Cincinnati, OH 45214 | 2009-02-27 |
1487783635 | Tracey L. Moore | Pharmacy Technician | 1010 W Columbia St, Farmington, MO 63640-2902 | 2007-03-05 |
1144363854 | Tracey Rae Moore | Counselor | 619 N Main St, Muskogee, OK 74401-4431 | 2007-02-14 |
1720188022 | Tracey D. Moore | Nurse Practitioner | 214 E 23rd St, Cheyenne Regional Medical Center, Emergency Dept., Cheyenne, WY 82001-3748 | 2006-09-25 |
Street Address |
1227 HWY 77, SUITE 2 |
City | MARION |
State | AR |
Zip Code | 72364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790190767 | Shiquita Sanders | Counselor | 1227 Hwy 77, Suite 2, Marion, AR 72364-2373 | 2014-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
Find all providers in zip 72364 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972128627 | Kelsie Ann Vaske | Counselor | 1199 Delaware Ave Ste 1074, Marion, OH 43302-6475 | 2020-06-09 |
1265963185 | Willie Henry Ford Jr. | Counselor | 367 Front St, Marion, MA 02738-1538 | 2017-03-22 |
1003365552 | Andrew James Maag | Counselor | 49 Ichabod Ln, Marion, MA 02738-1003 | 2016-09-26 |
1740606029 | Anita Ritchey | Counselor | 1713 Marion Waldo Rd, Marion, OH 43302-7427 | 2014-03-11 |
1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
1528305752 | Martha Alison Graham | Counselor | 273 Country Club Rd, Marion, SC 29571-6375 | 2013-01-08 |
1669723037 | R. Eric Ward | Counselor | 188 S Garden St, Marion, NC 28752-4053 | 2012-09-26 |
1619267945 | Connie Opitz Allensworth | Counselor | 1227 Hwy 77, Marion, AR 72364 | 2011-04-07 |
1487856688 | Gina Cale | Counselor | 101 S Washington St Ste 200, Marion, IN 46952-3868 | 2007-06-01 |
1033240486 | Misty Renee Rollen | Counselor | 4011 S Western Ave, Marion, IN 46953-4904 | 2007-03-08 |
Find all providers in MARION |
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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.