MRS. KAITLYN E. MOORE (NPI# 1811368939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811368939 |
| Entity Type | Individual |
| Full Name | MRS. KAITLYN E. MOORE |
| Other Name | KAITLYN E. BAXTER |
| Credential | NP-C |
| Practice Address |
2501 N Patterson St Valdosta GA 31602-1735 |
| Mailing Address |
Po Box 9 Valdosta GA 31603-0009 |
| Practice Telephone | 2292594611 |
| Practice Fax Number | 2292594664 |
| Mailing Telephone | 2292594611 |
| Mailing Fax Number | 2292594664 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2018-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN195214 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003168986A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860245 | Kaitlyn Moore | Behavior Technician | 7807 Hampton Summit Ter, Chesterfield, VA 23832 | 2018-05-09 |
| 1992212302 | Kaitlyn Virginia Moore | Specialist/Technologist | 600 Bowman Rd, Springfield, OH 45505-1814 | 2018-01-08 |
| 1154929552 | Kaitlyn Leigh Moore | Social Worker | 1482 Russ Ave, Waynesville, NC 28786-4143 | 2020-10-16 |
| 1578081154 | Kaitlyn Christina Moore | Nurse Practitioner | 713 Bethlehem Pike, Montgomeryville, PA 18936-9602 | 2017-09-05 |
| 1821496183 | Kaitlyn Moore | Speech-Language Pathologist | 900 N Marquis Hwy, Hartsville, SC 29550-3526 | 2014-12-18 |
| Street Address |
2501 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566964 | John William Devine | Radiology | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2005-05-31 |
| 1770100422 | Hospital Authority of Valdosta & Lowndes County, Ga | Clinical Medical Laboratory | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-06-29 |
| 1700410602 | Danielle C Yund | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-02-28 |
| 1417597170 | Sgmc Physician Network Inc | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-01-10 |
| 1497390116 | Stacey Newsome | Registered Nurse | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2019-11-18 |
| 1508417296 | Coastal Plain Radiology LLC | Radiology | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2019-09-24 |
| 1760030050 | Larissa Kathleen Frauenheim | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-08-29 |
| 1336794734 | Jeffery Allan Baggett | Nurse Anesthetist, Certified Registered | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-08-03 |
| 1689130312 | Kala Jo Bugg | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-02-19 |
| 1588149819 | Philip Andrew Cooper | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346611084 | Sarah Nebel Comparato | Nurse Practitioner | 3000 Kensington Ln, Valdosta, GA 31602-4008 | 2015-10-07 |
| 1326430802 | Joshua Batson | Nurse Practitioner | 3790 Old Us 41 N, Suite B, Valdosta, GA 31602-6864 | 2015-02-20 |
| 1790183523 | Byron Lagary Carter | Nurse Practitioner | 205 Woodrow Wilson Dr, Valdosta, GA 31602-2538 | 2014-12-10 |
| 1245635622 | Joe Ben Parker | Nurse Practitioner | 2056 Westside Rd, Valdosta, GA 31601-7914 | 2014-10-28 |
| 1467793000 | Dakshaben Patel Coleman | Nurse Practitioner | 3617 Victoria Dr, Valdosta, GA 31605-1090 | 2013-03-06 |
| 1790030815 | Janie Lozano Mcghin | Nurse Practitioner | 202 W Gordon St Ste A, Valdosta, GA 31601-4565 | 2012-07-14 |
| 1144473604 | Carmen Diana Booth | Nurse Practitioner | 2206 Briarcliff Dr, Valdosta, GA 31602-2101 | 2008-10-28 |
| 1083835227 | Anita D. Sinnott | Nurse Practitioner | 3018 N Patterson St, Valdosta, GA 31602-1711 | 2007-05-02 |
| 1023158763 | Barbara Ann Pearce | Nurse Practitioner | 4233 Camelot Xing, Valdosta, GA 31602-6926 | 2007-02-08 |
| 1306985619 | Tana M. Macera | Nurse Practitioner | 2501 N. Patterson Street, Valdosta, GA 31602-1735 | 2007-02-05 |
| Find all providers in VALDOSTA | ||||
Please comment or provide details below to improve the information on MRS. KAITLYN E. 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.