LISA MOORE (NPI# 1891056966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891056966 |
| Entity Type | Individual |
| Full Name | LISA MOORE |
| Credential | MS ED |
| Practice Address |
41 Cherry Ave Holtsville NY 11742-1750 |
| Practice Telephone | 6316543561 |
| Mailing Telephone | 6316543561 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1114525813 | Lisa Michelle Moore | Homemaker | 2541 Rockcastle Ct, Miamisburg, OH 45342-7259 | 2020-10-14 |
| 1851913693 | Lisa Moore | Home Health Aide | 2208 Perry Ave, Edgewood, MD 21040-2806 | 2020-05-14 |
| 1275099954 | Lisa Moore | Nurse Practitioner | 6 Misty Glen Ct, Irmo, SC 29063-8134 | 2019-02-18 |
| 1336643410 | Lisa Marcella Moore | Nurse Practitioner | 500 W. Votaw Street, Portland, IN 47371 | 2018-03-22 |
| 1831628494 | Lisa Moore | Counselor | 2714 Tupelo St, Lake Charles, LA 70601-7376 | 2017-06-07 |
| 1801348818 | Lisa Moore | Specialist | 2147 Skyview Dr, Fayetteville, NC 28304-5126 | 2016-10-26 |
| 1679955801 | Lisa Moore | Nurse Anesthetist, Certified Registered | 1481 Meads, Orange, CA 92869 | 2015-06-24 |
| 1689068751 | Lisa Moore | Registered Nurse | 748 Addington Dr, Winterville, NC 28590-7102 | 2015-03-26 |
| 1700292190 | Lisa Moore | Nurse's Aide | 2765 Bramblebush Ct, Columbus, OH 43224-2505 | 2014-07-07 |
| Street Address |
41 CHERRY AVE |
| City | HOLTSVILLE |
| State | NY |
| Zip Code | 11742-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907210 | Brittany Ann Rachuta | Licensed Practical Nurse | 11 Spiral Rd, Holtsville, NY 11742 | 2020-03-16 |
| 1679075089 | Gertha Therese Benoit-hollis | Nurse Practitioner | 5 Fisk Rd, Holtsville, NY 11742 | 2018-03-01 |
| 1437665031 | Amanda Namorato | Speech-Language Pathologist | 1111 Waverly Ave, Holtsville, NY 11742 | 2017-12-18 |
| 1003363656 | Dana Ann Vincent | Registered Nurse | 355 Plad Boulevard, Holtsville, NY 11742 | 2016-09-01 |
| 1992178792 | Fazila Duman | Social Worker | 98 5th Ave, Holtsville, NY 11742 | 2015-11-03 |
| 1659767648 | Suzana X Sula | Licensed Practical Nurse | 263 Blue Point, Long Island, NY 11742 | 2015-04-07 |
| 1366787707 | Rodolfo Diaz Deoquino Sr. | General Practice | 27 Summerfield Drive, Holtsville, NY 11742 | 2012-12-11 |
| 1154441004 | Barbara Ann De Feo | Nurse Practitioner | 107 West Main St., East Islip, NY 11742 | 2007-03-31 |
| 1013051341 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 298 Long Island Avenue, Holtsville, NY 11742 | 2007-02-19 |
| 1093861650 | Jessica Arnoux Speech Therapy | Local Education Agency (LEA) | 18 Glen Hollow Drive F5, Holtsville, NY 11742 | 2007-01-26 |
| Find all providers in zip 11742 | ||||
| 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 |
|---|---|---|---|---|
| 1144792342 | Kelly Michelle Longo | Specialist | 227 Blue Point Rd W, Holtsville, NY 11742-2222 | 2018-12-28 |
| 1184109530 | Charlee Timmerman | Specialist | 8 Alloy Ct, Holtsville, NY 11742-2417 | 2018-10-02 |
| 1821492737 | Joseph William Sallemi | Specialist | 3 Southern Way, Holtsville, NY 11742-1079 | 2014-10-21 |
| 1841625373 | Danielle Marie Viskovich | Specialist | 26 Canine Rd, Holtsville, NY 11742-2413 | 2013-09-03 |
| 1982036752 | Andrea Michele Saitta | Specialist | 126 10th Ave, Holtsville, NY 11742-2312 | 2013-08-05 |
| 1366789869 | Lisamarie Loor | Specialist | 44 Blueberry Ridge Dr, Holtsville, NY 11742-2551 | 2013-01-03 |
| 1093079071 | Heather L Pesce | Specialist | 158 10th Ave, Holtsville, NY 11742-2357 | 2012-06-25 |
| 1992069983 | Melissa A Cascio | Specialist | 14 Glen Hollow Dr, E-14, Holtsville, NY 11742-2437 | 2012-06-25 |
| 1730442617 | Angela Marie Lauruska | Specialist | 187 6th Ave, Holtsville, NY 11742-2341 | 2012-06-16 |
| 1013279546 | Evan Paul Cohen I | Specialist | 6 Hempstead St, Holtsville, NY 11742-1208 | 2012-06-11 |
| Find all providers in HOLTSVILLE | ||||
| City | HOLTSVILLE |
| Zip Code | 11742 |
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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.