JACOB MOORE (NPI# 1821512179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821512179 |
| Entity Type | Individual |
| Full Name | JACOB MOORE |
| Credential | ATC LAT |
| Practice Address |
116 Ward Sports Medicine Building Greenville NC 27858 |
| Mailing Address |
316 Prince Rd Greenville NC 27858-4941 |
| Practice Telephone | 2527372634 |
| Practice Fax Number | 2527371393 |
| Mailing Telephone | 2527372634 |
| Mailing Fax Number | 2527371393 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1166 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154617058 | Jacob E Moore | Emergency Medicine | 2326 N Lincoln Park W Apt 4b, Chicago, IL 60614-3446 | 2011-06-20 |
| 1043459175 | Jacob B Moore | Physical Medicine & Rehabilitation | 2707 Stange Road Suite 102, Mcfarland Clinic PC, Ames, IA 50010-3014 | 2009-02-12 |
| 1144249277 | Jacob Jackson Moore | Ophthalmology | 900 Morgan Ave, Corpus Christi, TX 78404-2028 | 2006-07-19 |
| 1831719947 | Jacob Ryan Moore | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-04-17 |
| 1497384424 | Jacob Aaron Moore | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-04-02 |
| 1255892287 | Jacob James Moore | Psychiatry & Neurology | 155 N Fresno St, Fresno, CA 93701-2302 | 2019-03-31 |
| 1336644723 | Jacob Clark Moore | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2018-03-27 |
| 1588027007 | Jacob Moore | Pharmacist | 1745 Quentin Rd, Lebanon, PA 17042-7435 | 2016-04-01 |
| 1750762928 | Jacob Robert Moore | Emergency Medicine | 5841 S Maryland Ave Rm L539, Chicago, IL 60637-1447 | 2015-06-14 |
| 1851780928 | Jacob Moore | Physician Assistant | 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 | 2015-01-13 |
| Street Address |
116 WARD SPORTS MEDICINE BUILDING |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184949679 | Scott Matthew Barringer | Specialist/Technologist | 116 Ward Sports Medicine Building, Greenville, NC 27858-9483 | 2010-03-29 |
| 1629460522 | Krista Carano | Specialist/Technologist | 116 Ward Sports Medicine Building, East Carolina University, Greenville, NC 27858 | 2015-03-02 |
| 1578985081 | Brian William Wiese | Specialist/Technologist | 116 Ward Sports Medicine Building, Greenville, NC 27858-4353 | 2014-01-17 |
| 1144545641 | Lucy Shaw | Specialist/Technologist | 116 Ward Sports Medicine Building, Greenville, NC 27858 | 2010-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681055 | Iesha Mccassling | Specialist/Technologist | 107 Columbia Ave, Greenville, NC 27834-3966 | 2020-02-21 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1710444682 | Mandolyn Mae Peterson | Specialist/Technologist | 1979 County Road 3327, Greenville, TX 75402-8607 | 2019-02-26 |
| 1265997795 | Brandi Dawn Grothman | Specialist/Technologist | 1606 S Pear Ln, Greenville, MS 38703-7814 | 2019-02-08 |
| 1861988743 | Rachel Hoover | Specialist/Technologist | 7481 S Grow Rd, Greenville, MI 48838 | 2018-07-03 |
| 1669965018 | Evanna Lonnique Evans | Specialist/Technologist | 402 S Texas Ave, Greenville, SC 29611-5619 | 2018-06-11 |
| 1376036939 | Tristan Prescott Morrison | Specialist/Technologist | 530a Lake Rd, Greenville, NC 27834-4956 | 2018-06-08 |
| 1144734500 | John Jacob Trundle | Specialist/Technologist | 2006 Worthington Rd, Greenville, NC 27858-8377 | 2017-11-21 |
| 1871002899 | Michael Thompson | Specialist/Technologist | 1504 Manning Forest Dr Apt B5, Greenville, NC 27834-6248 | 2017-09-21 |
| 1225550346 | Matthew Aiello | Specialist/Technologist | 650 N Academy St, Greenville, SC 29601-2246 | 2017-07-11 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
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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.