AUDREY LYNN MOORE (NPI# 1881109080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881109080 |
Entity Type | Individual |
Full Name | AUDREY LYNN MOORE |
Credential | RN |
Practice Address |
232 Mitchell St Millsboro DE 19966-9412 |
Practice Telephone | 3029345830 |
Practice Fax Number | 3029345835 |
Mailing Telephone | 3029345830 |
Mailing Fax Number | 3029345835 |
Enumeration Date | 2017-12-11 |
Last Update Date | 2017-12-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
L1-0039543 | DE | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HOME HEALTH PROVIDER | NA | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053604181 | Audrey Kim Moore | Nurse Practitioner | 725 Welch Rd., Palo Alto, CA 94304 | 2011-05-23 |
1255971008 | Audrey E Moore | Counselor | 804 N College Ave Ste 100, Bloomington, IN 47404-3599 | 2020-01-09 |
1982830816 | Audrey Elaine Moore | Case Manager/Care Coordinator | 6425 W 12th St, Little Rock, AR 72204-1509 | 2009-06-05 |
1467412403 | Audrey Durand Moore | Counselor | 703 Thimble Shoals Blvd, Suite A-3, Newport News, VA 23606-2576 | 2006-03-24 |
Street Address |
232 MITCHELL ST |
City | MILLSBORO |
State | DE |
Zip Code | 19966-9412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447335138 | Dover Vision Centre Ltd | Technician/Technologist | 232 Mitchell St, Millsboro, DE 19966-9412 | 2006-10-25 |
1609350503 | Sade Fields | Licensed Practical Nurse | 232 Mitchell St, Millsboro, DE 19966-9412 | 2018-09-18 |
1245721950 | Lia Kelly Workman | Registered Nurse | 232 Mitchell St, Millsboro, DE 19966-9412 | 2018-05-29 |
1609395094 | Nory Davis | Registered Nurse | 232 Mitchell St, Millsboro, DE 19966-9412 | 2017-09-17 |
1053660845 | Mara Jeanine Driggers | Physical Therapist | 232 Mitchell St, Millsboro, DE 19966-9412 | 2012-09-07 |
1568723419 | Krista L Brazell | Nurse Practitioner | 232 Mitchell St, Millsboro, DE 19966-9412 | 2012-06-06 |
1780841866 | Mark C Hedetniemi | Physical Therapist | 232 Mitchell St, Suite 101, Millsboro, DE 19966-9412 | 2008-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376178459 | Ashkan Ashkani | Physical Therapist | Back Bay Area Park Center, 26396 Bay Farm Rd, Unit #1, Millsbro, DE 19966 | 2020-03-09 |
1962053330 | Ryan P Tezak | Physical Therapist | 30166 Commerce Dr, Millsboro, DE 19966 | 2019-09-26 |
1598222390 | Benchmark Physical Therapy of Delaware LLC | Occupational Therapist | 30166 Commerce Drive, Millsboro, DE 19966 | 2019-02-27 |
1285106591 | Coastal Counseling | Clinic/Center | 5 Chelsea Square, Millsboro, DE 19966 | 2018-12-27 |
1780165175 | La Red Health Center, Inc. | Clinic/Center | 26089 Long Neck Road, Millsboro, DE 19966 | 2018-08-24 |
1740774215 | Melissa Alyanna Gorospe Lasig | Physical Therapist | 2315 Washington Street, Millsboro, DE 19966 | 2018-06-19 |
1205344728 | Rehabilitation Consultants, Inc. | Clinic/Center | 36932 Silicato Drive, Suite 5, Millsboro, DE 19966 | 2018-01-18 |
1073044095 | Swapna Bhupathi | Physical Therapist | Atlantic Shore Rehab and Health Center, 231 S Washington Street, Millsboro, DE 19966 | 2017-03-22 |
1447618178 | Ashley Deering | Physical Therapy Assistant | 20383 Charlotte Blvd, Millsboro, DE 19966 | 2016-02-09 |
1073971537 | Jennifer Noonan | Registered Nurse | 34141 Minnow Lane, Long Neck, DE 19966 | 2016-01-29 |
Find all providers in zip 19966 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245732338 | Janet Louise Wheeler | Registered Nurse | 24448 Shady Ln, Millsboro, DE 19966-4423 | 2018-03-05 |
1245721950 | Lia Kelly Workman | Registered Nurse | 232 Mitchell St, Millsboro, DE 19966-9412 | 2018-05-29 |
1609395094 | Nory Davis | Registered Nurse | 232 Mitchell St, Millsboro, DE 19966-9412 | 2017-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811490543 | Jill Lynn Bosak | Registered Nurse | 64 Coker Ct, Magnolia, DE 19962-3705 | 2018-03-08 |
1033640362 | Jessica Burton | Registered Nurse | 30915 Manchester Ln, Laurel, DE 19956-3587 | 2017-03-27 |
1609126481 | Paulette Tyrrell | Registered Nurse | 101 West Newtown Place, Newark, DE 19702 | 2012-09-19 |
1780932954 | Linda Lee Gogola | Registered Nurse | 232 Saxondale Ln, Dover, DE 19904-5762 | 2012-08-20 |
1164752697 | Epic Health Services (de), LLC | Registered Nurse | 20093 Office Cir Unit 205, Georgetown, DE 19947-3196 | 2010-01-06 |
1558511832 | Margaret Ann Roca | Registered Nurse | 167 W Buckingham Dr, Rehoboth Beach, DE 19971-1468 | 2008-09-24 |
1487782181 | Deborah Dorothy Mroz | Registered Nurse | 11 West Wind Court, Breezewood II, Newark, DE 19713 | 2007-03-02 |
1124101456 | Maxim Healthcare Services, Inc. | Registered Nurse | 1012 W State College Rd, Suite 101, Dover, DE 19904-6506 | 2006-10-23 |
1356421077 | Maxim Healthcare Services, Inc. | Registered Nurse | 1523 Concord Pike Ste 100, Wilmington, DE 19803-3653 | 2006-10-17 |
1972102507 | Laura Garofoli | Registered Nurse | 1277 S Governors Ave, Dover, DE 19904-4801 | 2020-10-24 |
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.