BEVERLY MOORE (NPI# 1831660612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831660612 |
| Entity Type | Individual |
| Full Name | BEVERLY MOORE |
| Practice Address |
953 E 128th St Cleveland OH 44108-2583 |
| Practice Telephone | 2167854179 |
| Mailing Telephone | 2167854179 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346782810 | Beverly L Moore | Health Educator | 157 Wilson Ave, Quincy, MA 02170-1037 | 2016-11-15 |
| 1114355047 | Beverly Moore | Behavioral Analyst | 7344 Savannah Falls St, Las Vegas, NV 89131-2658 | 2013-11-01 |
| 1972843621 | Beverly A Moore | Licensed Practical Nurse | 830 Dayspring Ct, Trenton, OH 45067-9629 | 2013-02-18 |
| 1619946050 | Beverly V Moore | Nurse Practitioner | 4354 Nw 23rd Ave, Gainesville, FL 32606-6541 | 2006-03-17 |
| 1275023467 | Beverly Moore | Pharmacist | 2703 82nd St, Lubbock, TX 79423-1429 | 2018-05-14 |
| 1609061951 | Beverly Annette Moore | Counselor | 52 Dore St, San Francisco, CA 94103-3828 | 2007-09-10 |
| Street Address |
953 E 128TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44108-2583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407475080 | Fundamentals First Basketball Academy, LLC | Early Intervention Provider Agency | 977 Eddy Rd., Cleveland, OH 44108 | 2020-04-13 |
| 1891269395 | Kathy Rothenberg-james | Counselor | 11100 St. Clair Ave., J .glen Smith Health Center, Cleveland, OH 44108 | 2019-01-17 |
| 1043705353 | Tamara Dionne Lyles | Community Health Worker | 12717 Arlington Ave, Cleveland, OH 44108 | 2018-06-28 |
| 1215424619 | Michael Bivens | Home Health Aide | 12414 Lancelot Avenue, Cleveland, OH 44108 | 2018-04-20 |
| 1487163283 | Nakia S Smith | Naturopath | 10621 Dupont Ave, Cleveland, OH 44108 | 2017-09-25 |
| 1003362229 | Terrance Wilson | Home Health Aide | 10912 Olivet Ave, Cleveland, OH 44108 | 2016-08-28 |
| 1235598541 | Lashaun Walker | Home Health Aide | 10208 Kempton Ave, Cleveland, OH 44108 | 2016-02-15 |
| 1053709147 | Danielle R Pettus | Nurse's Aide | 12811 Brackland Ave, Apt 6, Cleveland, OH 44108 | 2014-12-26 |
| 1528467529 | Naomi Fleming | Licensed Practical Nurse | 368 Cleveland Road, Cleveland, OH 44108 | 2014-08-15 |
| 1417369646 | Camille Taylor | Home Health Aide | 696e.101st, Cleveland, OH 44108 | 2014-05-22 |
| Find all providers in zip 44108 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1538774153 | Sarah Louise Woodside | Peer Specialist | 4478 S Hills Dr, Cleveland, OH 44109-4479 | 2020-09-10 |
| 1003421819 | Loretta Wilson | Peer Specialist | 3018 E 128th St, Cleveland, OH 44120-3003 | 2020-09-09 |
| 1558975128 | Jessica Ann Bair | Peer Specialist | 4606 Gifford Ave, Cleveland, OH 44144-2944 | 2020-09-01 |
| 1407460280 | Shiyla Ann Nix | Peer Specialist | 2230 E 82nd St, Cleveland, OH 44103-5008 | 2020-08-31 |
| 1538772611 | Ross Hilaszek | Peer Specialist | 2001 Willowdale Ave, Cleveland, OH 44109-2838 | 2020-08-28 |
| 1760008254 | Sober First, LLC | Peer Specialist | 4415 Euclid Ave Ste 204, Cleveland, OH 44103-3758 | 2020-06-19 |
| Find all providers in CLEVELAND | ||||
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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.