SHANNON DENISE MOORE (NPI# 1861692022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861692022 |
| Entity Type | Individual |
| Full Name | SHANNON DENISE MOORE |
| Credential | LPN |
| Practice Address |
11191 Illinois Route 185 Hillsboro IL 62049-2664 |
| Practice Telephone | 2175322001 |
| Practice Fax Number | 2175326361 |
| Mailing Telephone | 2175322001 |
| Mailing Fax Number | 2175326361 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 43074378 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825565 | Shannon Roberta Moore | In Home Supportive Care | 5686 Broadview Rd Apt 2520, Parma, OH 44134-1647 | 2020-09-11 |
| 1033764055 | Shannon Moore | Physical Therapist | 235 Open Sky Way, Kila, MT 59920-7700 | 2019-08-06 |
| 1770006660 | Shannon Moore | Optometrist | 340 Wood Rd Ste 2020, Braintree, MA 02184-2404 | 2017-07-21 |
| 1316327851 | Shannon Moore | Technician, Other | 24837 Princeton St, Dearborn, MI 48124-4457 | 2015-05-30 |
| 1659713071 | Shannon Lori Moore | Dietitian, Registered | 1114 Thomasville Rd Ste G, Tallahassee, FL 32303-6273 | 2013-07-26 |
| 1326388893 | Shannon Michelle Moore | Developmental Therapist | 340 Ralley Rd, Keavy, KY 40737-2729 | 2013-02-21 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1669767208 | Shannon M Moore | Pharmacist | 80 Baker St, Richmond, VT 05477-7750 | 2011-06-11 |
| 1154636611 | Shannon Monique Moore | Psychologist | 1675 Lakeland Dr Ste 304, Jackson, MS 39216 | 2010-08-09 |
| 1689630246 | Shannon Jessica Moore | Optometrist | 528 Waterloo Rd, Warrenton, VA 20186-3011 | 2006-04-24 |
| Street Address |
11191 ILLINOIS ROUTE 185 |
| City | HILLSBORO |
| State | IL |
| Zip Code | 62049-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548393440 | County of Montgomery | Community/Behavioral Health | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2007-03-13 |
| 1366003535 | Montgomery County Health Department | Clinic/Center | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2019-06-27 |
| 1962956946 | Montgomery County Health Department | Community/Behavioral Health | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2016-08-08 |
| 1912390568 | Lynette Weiss | Counselor | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2015-03-06 |
| 1093137036 | Kendal Stewart | Counselor | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2014-01-10 |
| 1083964431 | Uva Lorraine Lindsay | Licensed Practical Nurse | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2012-09-13 |
| 1316297773 | Rebecca Schweizer | Licensed Practical Nurse | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2012-09-13 |
| 1417205964 | Pamela Johnson | Registered Nurse | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2012-08-15 |
| 1497002976 | Paula M Beckman | Licensed Practical Nurse | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2012-08-14 |
| 1609183714 | Michelle Wallace | Counselor | 11191 Illinois Route 185, Hillsboro, IL 62049-2664 | 2010-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110734 | Ronald K Howard Jr. | Counselor | 11191 Rte 185, Hillsboro, IL 62049 | 2020-06-26 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1003325887 | Michele Womontree | Psychologist | 11191 Illinois Rt 185, Hillsboro, IL 62049 | 2017-09-25 |
| 1437457116 | Zumwalt Hillsboro Chiropractic Clinic | Chiropractor | 9242 Il Rte #16, Hillsboro, IL 62049 | 2011-03-04 |
| 1437366796 | Francis Felix Kayira | General Practice | Route 185, Graham Correctional Center, Hillsboro, IL 62049 | 2007-05-17 |
| 1225164965 | Kimberly Jan Draper | Speech-Language Pathologist | 10135 W Il Rt 16, Hillsboro, IL 62049 | 2007-02-26 |
| 1174662621 | Jon Ramon Gardner | Dentist | 12078 Il Rte 185, Graham Correctional Center, Hillsboro, IL 62049 | 2007-02-05 |
| 1669527875 | Mccaffrey Family Health Center PC | Chiropractor | 113 West Wood Street, Hillsboro, IL 62049 | 2007-01-25 |
| 1821068875 | Bart Allison Wetzel | Nurse Anesthetist, Certified Registered | 1200 Tremont, Hillsboro, IL 62049 | 2006-01-24 |
| 1699753707 | Gerald Lee Zumwalt | Chiropractor | 9242 Il Rt 16, Hillsboro, IL 62049 | 2006-01-09 |
| Find all providers in zip 62049 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528521549 | Karen Lee Ferrette | Licensed Practical Nurse | 10690 Ne Cornell Rd Ste 215, Hillsboro, OR 97124-9224 | 2019-04-08 |
| 1134608706 | Faith Bauder | Licensed Practical Nurse | 417 Hcr 2431, Hillsboro, TX 76645-5195 | 2018-08-14 |
| 1972059624 | Connie Sue Fraley | Licensed Practical Nurse | 8958 Pigeon Roost Rd., Hillsboro, OH 45133 | 2016-08-31 |
| 1689028268 | Amanda Stroop | Licensed Practical Nurse | 116 W Collins Ave, Hillsboro, OH 45133-1014 | 2016-04-20 |
| 1578934410 | Twolla Kay Minton | Licensed Practical Nurse | 462 S Elm St, Hillsboro, OH 45133-1360 | 2015-10-19 |
| 1174926810 | Candra Allen | Licensed Practical Nurse | 7260 Kier Rd, Hillsboro, OH 45133-9155 | 2014-10-08 |
| 1124433693 | Edna Anghesom Tesfay | Licensed Practical Nurse | 140 Ne Greenridge Ter, Hillsboro, OR 97124-5160 | 2014-06-24 |
| 1750714473 | Elizabeth Theobold | Licensed Practical Nurse | 4141 Sweeney Ln, Hillsboro, OH 45133-7429 | 2013-08-16 |
| 1093158982 | Amber Frazier | Licensed Practical Nurse | 6954 Perch St, Hillsboro, OH 45133-9758 | 2013-04-10 |
| 1477829752 | Cynthia Boyd | Licensed Practical Nurse | 125 Vaughn Ave, Hillsboro, OH 45133-1484 | 2012-03-30 |
| Find all providers in HILLSBORO | ||||
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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.