MRS. DENISE R MOORE (NPI# 1790098580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790098580 |
Entity Type | Individual |
Full Name | MRS. DENISE R MOORE |
Credential | ACNP-BC |
Practice Address |
3850 S National Ave 520 Springfield MO 65807-5287 |
Mailing Address |
Po Box 9007 Springfield MO 65808-9007 |
Practice Telephone | 4178752607 |
Practice Fax Number | 4178752674 |
Mailing Telephone | 4178753462 |
Enumeration Date | 2010-07-21 |
Last Update Date | 2018-12-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 089074 | MO | Nursing Service Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2010017028 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 420017088 | 05 | |
MO | 1790098580 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346705472 | Denise Moore | Nurse Practitioner | 4102 Deer Run Rd, Crestwood, KY 40014-9227 | 2019-02-03 |
1144744822 | Denise S Moore | Nurse Practitioner | 6223 66th St N, Pinellas Park, FL 33781-5025 | 2017-08-03 |
1619328788 | Denise Moore | Technician, Other | 6237 Ledgeway Dr, West Bloomfield, MI 48322-2446 | 2016-06-29 |
1770118721 | Denise Marie Moore | Massage Therapist | 440 Columbia Blvd, Saint Helens, OR 97051-1910 | 2020-03-10 |
1801369137 | Denise Moore | Social Worker | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2019-01-09 |
1326414756 | Denise Marie Moore | Nurse Practitioner | 8733 Beverly Blvd, Suite 408, West Hollywood, CA 90048-1827 | 2015-08-20 |
1639563380 | Denise Michelle Moore | Counselor | 580 Old Route 322, Philipsburg, PA 16866 | 2015-03-20 |
1942542691 | Denise Moore | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2013-03-20 |
1811240005 | Denise A Moore | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 | 2012-10-25 |
1760741912 | Denise Augustine Moore | Counselor | 2626 Charles Dr, Chalmette, LA 70043-3779 | 2012-05-09 |
Street Address |
3850 S NATIONAL AVE 520 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65807-5287 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548264971 | Michael A Albritton | Specialist | 3850 S National Ave, Ste 100, Springfield, MO 65807-5287 | 2005-06-13 |
1982245767 | Rebecca Lynn Smading | Nurse Practitioner | 3850 S National Ave, Springfield, MO 65807-5287 | 2019-10-03 |
1932645744 | Lester E Cox Medical Centers | Internal Medicine | 3850 S National Ave, Springfield, MO 65807-5287 | 2017-01-18 |
1033652870 | Karrie Derenski | Pharmacist | 3850 S National Ave, Suite 200, Springfield, MO 65807-5287 | 2016-11-28 |
1518307487 | Kathleen Martin | Nurse Practitioner | 3850 S National Ave, Suite 600, Springfield, MO 65807-5287 | 2013-06-25 |
1124319439 | Christine A Czachowski | Nurse Practitioner | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-21 |
1083903785 | Nicholas Andrew Madden | Radiology | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-04 |
1326345042 | Candise Elaine Jordan | Nurse Practitioner | 3850 S National Ave, Suite 600, Springfield, MO 65807-5287 | 2011-02-15 |
1407174782 | Srikant Nannapaneni | Internal Medicine | 3850 S National Ave, Suite 520, Springfield, MO 65807-5287 | 2010-05-11 |
1063748929 | Physicians for Breast Health, L.L.C. | Radiology | 3850 S National Ave, Suite 300, Springfield, MO 65807-5287 | 2009-10-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
Find all providers in zip 65807 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316565989 | Melanie Phillips | Nurse Practitioner | 140 W Main St Ste 100, Springfield, OH 45502-1369 | 2020-07-10 |
1649828120 | Dareth Elizabeth Fowler | Nurse Practitioner | 709 Deerfield Trl, Springfield, OH 45503-7445 | 2019-08-28 |
1578824983 | Daisy Seby | Nurse Practitioner | 86 Redwood Rd, Springfield, NJ 07081-2426 | 2012-06-01 |
1760741714 | Mini Jijo | Nurse Practitioner | 884 South Springfield Ave, #39, Springfield, NJ 07081-3314 | 2012-05-11 |
1326218843 | Laura Ann Reed | Nurse Practitioner | 30 W Mccreight Ave Ste 100, Springfield, OH 45504 | 2008-03-12 |
1669442182 | Lisa Erickson | Nurse Practitioner | 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298 | 2006-01-26 |
1225639131 | Rachel M Carr | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2020-11-06 |
1902411424 | Samantha Gillespie | Nurse Practitioner | 1460 G St, Springfield, OR 97477-4112 | 2020-09-11 |
1649898065 | Jaines Milagros Andrades | Nurse Practitioner | 2 Medical Center Drive, Suite 301, Springfield, MA 01107-1270 | 2020-07-13 |
1487288171 | Pamela Lomeli | Nurse Practitioner | 319 E Madison St Ste 1f, Springfield, IL 62701-3118 | 2020-03-03 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65807 |
Please comment or provide details below to improve the information on MRS. DENISE R 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.