MS. PATRICIA D MOORE (NPI# 1871574459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871574459 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA D MOORE |
| Practice Address |
11301 Wetupka Way Hernando MS 38632-4420 |
| Practice Telephone | 6624295835 |
| Practice Fax Number | 6624490443 |
| Mailing Telephone | 6624295835 |
| Mailing Fax Number | 6624490443 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699800 | Patricia Moore | Registered Nurse | 1101 Sam Perry Blvd Ste 307, Fredericksburg, VA 22401-4466 | 2016-10-09 |
| 1588012678 | Patricia A Moore | Social Worker | 1300 W Belmont Ave Ste 309, Chicago, IL 60657-3241 | 2016-05-30 |
| 1841657244 | Patricia Diahann Moore | Counselor | 133 Cheesman Lake Cir, Divide, CO 80814-9776 | 2016-01-15 |
| 1861893752 | Patricia Ann Moore | Social Worker | 412 6th Ave Fl 7, New York, NY 10011-8409 | 2014-09-10 |
| 1982946232 | Patricia Jeanne Moore | Pathology | 25331 Rayford Crest Dr, Spring, TX 77386-2838 | 2013-03-25 |
| 1356643324 | Patricia Louise Moore | Physician Assistant | 1453 S. Bancroft, Indianaplis, IN 46203-3709 | 2010-11-24 |
| 1154658763 | Patricia Edwards Moore | Mechanotherapist | 819 Se Morrison St Ste 240, Portland, OR 97214-6312 | 2009-11-03 |
| 1093902397 | Patricia D. Moore | Massage Therapist | 22 E Shenango St, Sharpsville, PA 16150-1122 | 2007-10-01 |
| 1649337213 | Patricia Rose Moore | Psychologist | 393 Mass Ave, Arlington, MA 02474 | 2007-01-03 |
| 1164431029 | Patricia A. Moore | Social Worker | 520 N Haines St, Boise, ID 83712-8013 | 2006-08-07 |
| Street Address |
11301 WETUPKA WAY |
| City | HERNANDO |
| State | MS |
| Zip Code | 38632-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164678520 | Lloyd Wayne Estes | Specialist | 11301 Wetupka Way, Hernando, MS 38632-4420 | 2008-08-16 |
| 1174536031 | Meds Shoes, Inc. | Durable Medical Equipment & Medical Supplies | 11301 Wetupka Way, Hernando, MS 38632-4420 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042335 | Dominic Lashay Freeman | Case Management | 2744 Hwy 51 South, Hernando, MS 38632 | 2017-09-21 |
| 1851814875 | Staci Lea Hudson | Nurse Practitioner | 2705 Hwy 51 South, Hernando, MS 38632 | 2017-07-21 |
| 1629425517 | Jamieka Harris | Counselor | 2705 Hwy 51 S, Hernando, MS 38632 | 2016-05-20 |
| 1215302476 | Elizabeth Claire Corban | Counselor | 2725 Highway 51 S., Hernando, MS 38632 | 2015-12-14 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1447506514 | Surgical First Assist, LLC | Specialist/Technologist, Other | 8921 Black Panther Cove, Herenando, MS 38632 | 2012-07-26 |
| 1629348396 | Stacy Riddle-mattox | Counselor | 2725 Highway 51 South, Hernando, MS 38632 | 2012-01-11 |
| Find all providers in zip 38632 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164678520 | Lloyd Wayne Estes | Specialist | 11301 Wetupka Way, Hernando, MS 38632-4420 | 2008-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407407273 | Holly Wilson | Specialist | 100 Hospital St Ste 300, Booneville, MS 38829-3354 | 2019-09-24 |
| 1255893434 | Natasha Wilson | Specialist | 959 Memorial Blvd, Picayune, MS 39466-4635 | 2019-04-05 |
| 1669933396 | Doneshia Brown | Specialist | 1436 Saint Andrews Ln, Starkville, MS 39759-1613 | 2019-03-26 |
| 1770061442 | Elizabeth Newcomb | Specialist | 102 N Cass St Ste B, Corinth, MS 38834-5729 | 2018-08-03 |
| 1396271565 | Karlisha Britton | Specialist | 7 Lakeland Circle, Suite 300, Jackson, MS 39216 | 2017-05-10 |
| 1306386784 | Donna Neal | Specialist | 2113 Government St Ste K2, Ocean Springs, MS 39564-3949 | 2017-03-03 |
| 1790227627 | Mississippi Center for Advanced Medicine, PC | Specialist | 7731 Old Canton Rd, Suite B, Madison, MS 39110-6114 | 2016-11-09 |
| 1366993321 | D Balder Md Pllc | Specialist | 15190 Community Rd Ste 210, Gulfport, MS 39503-3483 | 2016-10-14 |
| 1619427374 | Anthony Jamaal Anderson | Specialist | 295 Debuys Rd, Gulfport, MS 39507-2800 | 2016-10-06 |
| 1114476389 | Physician Practice of Madison, PC | Specialist | 1111 N Frontage Rd Fl 2, Vicksburg, MS 39180-5102 | 2016-09-28 |
| Find all providers with the same taxonomy | ||||
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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.