EMILY MOORE (NPI# 1891197570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891197570 |
| Entity Type | Individual |
| Full Name | EMILY MOORE |
| Credential | PA-C |
| Practice Address |
465 Mckenna Dr Mountain Home ID 83647-2143 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2085879703 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0000 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134772999 | Emily Kay Moore | Counselor | 1403 Deerfield Mdw, Siloam Springs, AR 72761-8272 | 2019-07-22 |
| 1912374687 | Emily Elizabeth Moore | Specialist/Technologist | 1249 10th Street Ln Nw, Hickory, NC 28601-2365 | 2015-08-28 |
| 1801279765 | Emily Moore | Counselor | 325 22nd St, Brooklyn, NY 11215-6407 | 2015-07-09 |
| 1790189694 | Emily Moore | Occupational Therapy Assistant | 2607 Yaupon Dr Apt 7, Myrtle Beach, SC 29577-4786 | 2014-10-21 |
| 1346572526 | Emily Moore | Nurse Practitioner | 160 Alpine Estates Dr, Cranston, RI 02921-3512 | 2010-02-12 |
| 1518978725 | Emily Rose Moore | Pharmacist | 3801 Miranda Ave # P119, Palo Alto, CA 94304-1207 | 2006-08-11 |
| 1609872449 | Emily Anne Moore | Nurse Practitioner | 340 Chapeze Ln, Shepherdsville, KY 40165-8893 | 2005-06-27 |
| 1760099386 | Emily Jeanne Moore | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-09-28 |
| 1467060558 | Emily Moore | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-07-15 |
| 1851915912 | Emily Moore | Speech-Language Pathologist | 214 Hope Landing Rd, El Dorado, AR 71730-8725 | 2020-06-04 |
| Street Address |
465 MCKENNA DR |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 83647-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634424 | Wayne Martin | Nurse Practitioner | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2006-01-17 |
| 1427555119 | Jamie Knapp | Physician Assistant | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2018-04-09 |
| 1871092189 | Joseph Wells Hoskin | Physician Assistant | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2018-02-02 |
| 1265852909 | Whitney Ann Roberts | Physician Assistant | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2014-04-21 |
| 1417297821 | St Lukes Clinic-treasure Valley LLC | Family Medicine | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2013-02-21 |
| 1780752469 | Timothy James Muhonen | Family Medicine | 465 Mckenna Dr, Mountain Home, ID 83647 | 2006-12-01 |
| 1508846353 | Karl H. Olson | Family Medicine | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2006-01-18 |
| 1831179696 | Elmore Medical Center Hospital District | Family Medicine | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2006-01-18 |
| 1558341594 | Dennis Dan Crossley | Family Medicine | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
| 1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
| 1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1952482440 | Michael Peter Koelsch | Internal Medicine | 805 North 6th East, Mountain Home, ID 83647 | 2006-10-18 |
| 1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
| 1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
| 1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
| 1285628156 | Bruce Joseph Siedlecki | Obstetrics & Gynecology | Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 | 2005-09-07 |
| Find all providers in zip 83647 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871092189 | Joseph Wells Hoskin | Physician Assistant | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2018-02-02 |
| 1932574381 | Kyle Hollenback | Physician Assistant | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 | 2015-12-10 |
| 1144607268 | Hillary-paige Graves Potter | Physician Assistant | 17 Medical Plz, Mountain Home, AR 72653-2918 | 2015-04-27 |
| 1952738577 | Jonathan Grant Casto | Physician Assistant | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2013-09-27 |
| 1922435544 | Ashley Genee Casto | Physician Assistant | 2280 American Legion Blvd, Mountain Home, ID 83647 | 2013-09-27 |
| 1982791927 | John Frank Testerman IIi | Physician Assistant | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37686 | 2006-10-10 |
| 1609807247 | Karen Miller Gunn | Physician Assistant | Lamont Street, Mountain Home, TN 37684 | 2006-07-05 |
| 1194765875 | Nancy Karen Bell | Physician Assistant | James H. Quillen Vamc, Dogwood Ave. 111c, Mountain Home, TN 37684 | 2006-06-08 |
| 1447215066 | James C Roelke | Physician Assistant | 628 Hospital Dr, Ground Floor, Suite A, Mountain Home, AR 72653-2953 | 2006-04-18 |
| 1336110980 | Delmar Wallace Smith | Physician Assistant | 2000 American Legion Blvd, Mountain Home, ID 83647-3138 | 2006-01-31 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
Please comment or provide details below to improve the information on EMILY MOORE.
| 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.