MS. ELIZABETH JANE MOORE (NPI# 1871826610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871826610 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH JANE MOORE |
| Credential | PMHNP-BC |
| Practice Address |
410 North 10th Street Richmond IN 47374-3116 |
| Mailing Address |
2514 Oak Park Court Richmond IN 47374-1282 |
| Practice Telephone | 7742850822 |
| Practice Fax Number | 7655308099 |
| Mailing Telephone | 7742850822 |
| Mailing Fax Number | 7655308099 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
71005185B | IN | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
71005185A | IN | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
28087121A | IN | Allopathic & Osteopathic Physicians |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71005185A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000899248 | 01 |
| IN | 201258280 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 E Main St, Hagerstown, IN 473461396 | 7742850822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104476183 | Elizabeth Ann Moore | Technician | 233 Stone Circle Drive, Gordonville, TX 76245 | 2019-09-12 |
| 1548812092 | Elizabeth Berthe Moore | Nurse Practitioner | 45 Hale St, Norwich, NY 13815-2038 | 2019-07-15 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1295390953 | Elizabeth Adair Moore | Speech-Language Pathologist | 165 Sheffield Rd, Easley, SC 29642-3317 | 2019-05-07 |
| 1346721743 | Elizabeth Moore | Social Worker | 315 New River Rd, Manville, RI 02838-1817 | 2018-08-23 |
| 1912407248 | Elizabeth Zoey Moore | Health Educator | 920 Corporae Lane, Chesapeake, VA 23320 | 2018-02-13 |
| 1457801615 | Elizabeth Moore | Speech-Language Pathologist | 12881 Winthrop Cove Dr, Jacksonville, FL 32224-7568 | 2016-10-11 |
| 1144773870 | Elizabeth Moore | Social Worker | 2222 Marion Mount Gilead Rd, Marion, OH 43302-9125 | 2016-07-29 |
| 1477904076 | Elizabeth Jane Moore | Counselor | 209 Seneca Ave, Byesville, OH 43723-1364 | 2016-06-24 |
| 1285028415 | Elizabeth Moore | Student in an Organized Health Care Education/Training Program | 135 S Ross St, Auburn, AL 36830-5533 | 2015-03-25 |
| Street Address |
410 NORTH 10TH STREET |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124599311 | Lighthouse Christian Counseling, Inc. | Psychiatry & Neurology | 410 North 10th Street, Richmond, IN 47374-3118 | 2018-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1972116127 | Margaret Nma Iroanya | Nurse Practitioner | 11102 Croftmore Dr, Richmond, TX 77407-2911 | 2020-08-27 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1760091979 | Peters Ako Etchu | Nurse Practitioner | 19726 Shallow Shaft Ln, Richmond, TX 77407-4100 | 2020-07-24 |
| 1649897174 | Elizabeth Nnenna Emeri | Nurse Practitioner | 1601 Main St Ste 600, Richmond, TX 77469-3244 | 2020-06-30 |
| 1083238083 | Kainer Behavioral Health Pllc | Nurse Practitioner | 23622 Fairport Harbor Ln, Richmond, TX 77407-2888 | 2020-06-04 |
| 1245853498 | Jennifer Lynn Whittington | Nurse Practitioner | 789 Eastern Bypass Medical Office 1, Suite 23, Richmond, KY 40475-4047 | 2020-05-22 |
| 1699308858 | Raymond C Obiajulu | Nurse Practitioner | 1911 William Lusk Rd, Richmond, TX 77469-4741 | 2020-02-17 |
| 1730719014 | Furo Uba Fabunmi | Nurse Practitioner | 1219 Orange Pumpkin Ln, Richmond, TX 77406-1771 | 2020-01-25 |
| Find all providers in RICHMOND | ||||
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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.