MRS. DIANE MARIE MOORE (NPI# 1801232939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801232939 |
| Entity Type | Individual |
| Full Name | MRS. DIANE MARIE MOORE |
| Credential | LMHCA |
| Practice Address |
11105 Ne 14th St Suite 102 Vancouver WA 98684-4308 |
| Practice Telephone | 3609098827 |
| Mailing Telephone | 3609098827 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC60330955 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720438542 | Diane Moore | Home Health Aide | 454 Barclay Sq W, Columbus, OH 43209-1129 | 2016-06-13 |
| 1811120421 | Diane Loie Moore | Social Worker | 1641 Tucker Ln, Encinitas, CA 92024-2925 | 2009-08-30 |
| 1447402003 | Diane Calvin Moore | Counselor | 6950 Sw Hampton #100, Tigard, OR 97223 | 2008-10-15 |
| 1760833594 | Diane Lynn Moore | Marriage & Family Therapist | 1680 The Alameda Ste 202, San Jose, CA 95126-2208 | 2016-06-22 |
| 1720447162 | Diane D Moore | Counselor | 63 Chestnut Rd, Suite 9, Paoli, PA 19301-1535 | 2016-02-13 |
| 1326462383 | Diane Moore | Speech-Language Pathologist | 8585 W Dakota Ave, Lakewood, CO 80226-3022 | 2014-02-11 |
| 1013343433 | Diane Moore | Occupational Therapy Assistant | 1221 Durston Rd, Bozeman, MT 59715-2725 | 2013-09-17 |
| 1619222866 | Diane Moore | Nurse Anesthetist, Certified Registered | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2012-07-13 |
| 1821326760 | Diane Ollive Moore | Nurse Practitioner | 8033 Dixie Hwy, Louisville, KY 40258 | 2009-12-04 |
| 1467697169 | Diane A Moore | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1392 | 2008-12-09 |
| Street Address |
11105 NE 14TH ST SUITE 102 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518265735 | Bradley Lewis Peterson | Counselor | 11105 Ne 14th St, Suite 103, Vancouver, WA 98684-4308 | 2011-03-11 |
| 1306291430 | Joshua Moore | Counselor | 11105 Ne 14th St, Vancouver, WA 98684-4308 | 2016-04-26 |
| 1902220361 | Sandra S Jones | Counselor | 11105 Ne 14th St, Vancouver, WA 98684-4308 | 2014-02-05 |
| 1114296498 | Precision Distributing, Inc. | Durable Medical Equipment & Medical Supplies | 11105 Ne 14th St, Vancouver, WA 98684-4308 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463878 | Andrew Accornero | Counselor | 108 Se 124th Ave Ste 17, Vancouver, WA 98684-6015 | 2020-10-08 |
| 1962024703 | Sarah Elizabeth Wahl | Counselor | 10919 Ne Sherwood Dr, Vancouver, WA 98686-4324 | 2020-05-14 |
| 1922632900 | Jeremy Houtsma Counseling LLC | Counselor | 601 Main St Ste 309, Vancouver, WA 98660-3404 | 2020-02-27 |
| 1194367631 | Ashley Amber Thomas | Counselor | 5732 Ne 131st Pl, Vancouver, WA 98682-2277 | 2019-10-16 |
| 1164073698 | Michelle L Drake | Counselor | 9606 Ne 19th St, Vancouver, WA 98664-2983 | 2019-09-25 |
| 1306496260 | Shaina Lee Heimerl | Counselor | 4317 Ne Thurston Way Ste 11, Vancouver, WA 98662-6658 | 2019-09-12 |
| 1205497013 | Natasha Marie Medina | Counselor | 1104 Main St Ste M105, Vancouver, WA 98660-2969 | 2019-06-23 |
| 1295395267 | Nicola R Cook | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2019-06-20 |
| 1720643851 | Christine Yoshida | Counselor | 10000 Ne 7th Ave # 100-d, Vancouver, WA 98685-4599 | 2019-05-03 |
| 1679035364 | Breanne Alina Valrance | Counselor | 6601 Ne 71st Ave, Vancouver, WA 98661-1945 | 2019-04-02 |
| Find all providers in VANCOUVER | ||||
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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.