DR. KATIE MOORE (NPI# 1851876312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851876312 |
| Entity Type | Individual |
| Full Name | DR. KATIE MOORE |
| Credential | PSYD |
| Practice Address |
7617 Mineral Point Rd Ste 300 Madison WI 53717-1623 |
| Mailing Address |
2658 Richardson St Fitchburg WI 53711-5431 |
| Practice Telephone | 6088339290 |
| Mailing Telephone | 6028810452 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3623-57 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952816498 | Katie Moore | Speech-Language Pathologist | 28 Bullseye Dr, Troy, IL 62294-2486 | 2017-12-06 |
| 1386052504 | Katie Moore | Nurse Practitioner | 3891 Steeple Chase Ct, Midlothian, TX 76065-4746 | 2014-07-31 |
| 1730226192 | Katie Lea Moore | Occupational Therapist | 13909 Florida Blvd, Livingston, LA 70754 | 2007-02-01 |
| 1821697210 | Katie Scianna Moore | Nurse Practitioner | 4210 Lincoln Rd, Hattiesburg, MS 39402-3093 | 2020-10-19 |
| 1508496332 | Katie Moore | Behavior Technician | 12650 E Briarwood Ave, Suite 207, Centennial, CO 80112-6792 | 2020-01-21 |
| 1306311394 | Katie Emily Moore | Counselor | 11910 Ne 154th St, Brush Prairie, WA 98606-9571 | 2018-10-05 |
| 1790277853 | Katie Denise Moore | Social Worker | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2018-06-05 |
| 1043558661 | Katie Bozeman Moore | Pharmacist | 4290 Bells Ferry Rd Nw, Kennesaw, GA 30144-7140 | 2013-01-17 |
| 1972873958 | Katie Marie Moore | Social Worker | 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 | 2012-01-06 |
| 1700114063 | Katie Linda Moore | Nurse Practitioner | 908 Jefferson St, Seattle, WA 98104-2433 | 2009-11-25 |
| Street Address |
7617 MINERAL POINT RD STE 300 |
| City | MADISON |
| State | WI |
| Zip Code | 53717-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033304852 | Jennifer Anne Hayes | Social Worker | 7617 Mineral Point Rd Ste 300, Madison, WI 53717-1623 | 2007-09-14 |
| 1346858792 | Justin Mistretta | Counselor | 7617 Mineral Point Rd Ste 300, Madison, WI 53717-1623 | 2020-07-21 |
| 1205204096 | Stacy L Killinger | Psychologist | 7617 Mineral Point Rd Ste 300, Madison, WI 53717-1623 | 2015-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
| 1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
| 1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
| 1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
| 1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
| 1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
| 1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
| Find all providers in zip 53717 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1497311294 | Brenda Sue Stepak | Psychologist | 4 Giralda Farms, Madison, NJ 07940 | 2019-05-16 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1598232548 | Different Minds LLC | Psychologist | 313 Price Pl Ste 109, Madison, WI 53705-3262 | 2018-10-29 |
| 1760967145 | Emily Cahill Forscher | Psychologist | 2801 International Ln, Madison, WI 53704-3119 | 2018-10-01 |
| 1083167944 | Monica Ballard-booth | Psychologist | 331 State St, Suite 300, Madison, WV 25130-1367 | 2016-07-27 |
| 1750758033 | Patricia Humphrey | Psychologist | 4785 Hayes Rd Ste 100, Madison, WI 53704-7364 | 2015-08-21 |
| 1417348046 | Roger Rattan | Psychologist | 516 Troy Dr, Madison, WI 53704-1575 | 2015-02-18 |
| 1427453877 | Forward Psychology Group | Psychologist | 478 Commerce Dr Ste 204, Madison, WI 53719-5099 | 2014-10-28 |
| Find all providers in MADISON | ||||
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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.