SHAWANNA NICOLE MOORE (NPI# 1811357429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811357429 |
| Entity Type | Individual |
| Full Name | SHAWANNA NICOLE MOORE |
| Credential | LPCA |
| Practice Address |
615 Saint George Square Ct Winston Salem NC 27103-1356 |
| Mailing Address |
862 Shalimar Dr Winston Salem NC 27107-1588 |
| Practice Telephone | 3369868919 |
| Mailing Telephone | 3369868919 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2020-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
12131 | NC | Behavioral Health & Social Service Providers |
| Street Address |
615 SAINT GEORGE SQUARE CT |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154706448 | Latonya Yvette Anderson | In Home Supportive Care | 615 Saint George Square Ct, Suite 300, Winston Salem, NC 27103-1356 | 2015-07-28 |
| 1851915045 | Thomasene Wilson | Home Health Aide | 615 Saint George Square Ct, Winston Salem, NC 27103-1356 | 2020-06-03 |
| 1669996229 | Fortitude Counseling Services | Counselor | 615 Saint George Square Ct, Winston Salem, NC 27103-1356 | 2017-07-26 |
| 1588025381 | Salem Pediatric Ear and Airway Center, Pllc | Otolaryngology | 615 Saint George Square Ct, Suite 364, Winston Salem, NC 27103-1356 | 2016-03-08 |
| 1740666171 | Legacy Home Care | In Home Supportive Care | 615 Saint George Square Ct, Winston Salem, NC 27103-1356 | 2015-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332476 | Tramaine King | Counselor | 3570 Vest Mill Rd Ste H, Winston Salem, NC 27103-2963 | 2020-10-01 |
| 1285267724 | B Balanced Counseling & Wellness, Pllc | Counselor | 939 Burke St Ste F, Winston Salem, NC 27101-2575 | 2020-02-12 |
| 1306482674 | Allison Grace Alford | Counselor | 8007 N Point Blvd Ste 209, Winston Salem, NC 27106-3268 | 2019-11-21 |
| 1609417468 | The Well Mind, Pllc | Counselor | 213 W 6th St Ste 6, Winston Salem, NC 27101-2901 | 2019-10-03 |
| 1619455797 | Nancy Stacy Hodges | Counselor | 1959 N Peace Haven Rd, Winston Salem, NC 27106-4850 | 2018-08-01 |
| 1326526732 | Anna Kathleen Fleig | Counselor | 983 Mar Don Dr, Winston Salem, NC 27104-4624 | 2018-07-30 |
| 1710478441 | Narissa D Huntley | Counselor | 1396 Old Mill Cir Ste 206, Winston Salem, NC 27103-2957 | 2018-05-29 |
| 1174022966 | Patrick Sal Ide | Counselor | 1922 S Martin Luther King Jr Dr Ste 255, Winston Salem, NC 27107-1361 | 2018-02-07 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1275070179 | Helen Humphrey | Counselor | 104 Cambridge Plaza Dr, Winston Salem, NC 27104-3556 | 2017-01-30 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.