KELLI A MOORE (NPI# 1841473055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841473055 |
| Entity Type | Individual |
| Full Name | KELLI A MOORE |
| Other Name | KELLI A BAIR |
| Credential | CRNP |
| Practice Address |
3301 Trindle Rd Camp Hill PA 17011-4413 |
| Mailing Address |
409 S 2nd St Suite 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7174127859 |
| Practice Fax Number | 7179653214 |
| Mailing Telephone | 7174127859 |
| Mailing Fax Number | 7179653214 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | SP009629 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP009629 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102996254 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699243204 | Kelli Moore | Physician Assistant | 32270 Telegraph Rd Ste 110, Bingham Farms, MI 48025-2456 | 2018-11-13 |
| 1134554041 | Kelli Moore | Occupational Therapist | 4767 Painters Street, New Orleans, LA 70122 | 2013-09-10 |
| 1770195380 | Kelli Moore | Social Worker | 1235 8th St, Las Vegas, NM 87701-4219 | 2020-08-17 |
| 1336502491 | Kelli Moore | Registered Nurse | 6300 N Main St, Dayton, OH 45415-3154 | 2016-04-05 |
| 1801207089 | Kelli Lyn Moore | Behavioral Analyst | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2014-05-09 |
| 1427391846 | Kelli Jo Moore | Radiology | One Hospital Dr, Columbia, MO 65212 | 2013-04-03 |
| 1225051469 | Kelli Michelle Moore | Recreation Therapist | 1 Freedom Way, Recreation Therapy (294), Augusta, GA 30904-6258 | 2006-07-26 |
| Street Address |
3301 TRINDLE RD |
| City | CAMP HILL |
| State | PA |
| Zip Code | 17011-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801886411 | Kathie Anne Alvanitakis | Nurse Practitioner | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2005-10-25 |
| 1518426725 | Lindsey Kornbau | Nurse Practitioner | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2019-03-18 |
| 1871038257 | Jessica R Crosby | Nurse Practitioner | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2016-12-21 |
| 1245623198 | Esther Ugochi Anyatonwu | Nurse Practitioner | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2015-03-16 |
| 1235548686 | Madison A Major | Physician Assistant | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2014-08-11 |
| 1114333952 | Pinnacle Health Medical Services | Physician Assistant | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2014-07-01 |
| 1992004873 | Bethany Melissa Krotzer | Physician Assistant | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2011-03-18 |
| 1194036053 | Omasilem Obiri | Registered Nurse | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2010-06-25 |
| 1336384478 | Amanda M Mclaughlin | Nurse Practitioner | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2008-12-03 |
| 1821020835 | Giant Food Stores LLC | Pharmacy | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
| 1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
| 1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
| 1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
| 1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
| Find all providers in zip 17011 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643958 | Mary M Spiese | Nurse Practitioner | 3906 Rosemont Ave, Camp Hill, PA 17011-7813 | 2019-01-23 |
| 1801886411 | Kathie Anne Alvanitakis | Nurse Practitioner | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2005-10-25 |
| 1033115704 | Ann F. Bero | Nurse Practitioner | 890 Poplar Church Road, Suite 503, Camp Hill, PA 17011 | 2005-06-27 |
| 1811501232 | Laura Ziegler | Nurse Practitioner | 3399 Trindle Rd, Camp Hill, PA 17011-4407 | 2020-09-02 |
| 1093359572 | Mercy N Odoom | Nurse Practitioner | 4400 Carlisle Pike, Camp Hill, PA 17011-4132 | 2019-10-29 |
| 1891343349 | Jennifer Pasquini | Nurse Practitioner | 2500 Lisburn Rd, Camp Hill, PA 17011-8005 | 2019-08-28 |
| 1518426725 | Lindsey Kornbau | Nurse Practitioner | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2019-03-18 |
| 1821564675 | Scott Smallwood | Nurse Practitioner | 897 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2018-10-19 |
| 1871038257 | Jessica R Crosby | Nurse Practitioner | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2016-12-21 |
| 1629529722 | Amy Ziegler | Nurse Practitioner | 890 Poplar Church Rd, Camp Hill, PA 17011-2250 | 2016-10-24 |
| Find all providers in CAMP HILL | ||||
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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.