MS. TAMARA RENESE MOORE (NPI# 1891294377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891294377 |
| Entity Type | Individual |
| Full Name | MS. TAMARA RENESE MOORE |
| Practice Address |
9403 Mansfield Rd Shreveport LA 71118-3815 |
| Mailing Address |
8115 Fork Bayou Ln Shreveport LA 71106-5349 |
| Practice Telephone | 3188618938 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801340229 | Tamara Moore | Technician, Other | 1096 Stamford Rd, Ypsilanti, MI 48198-3248 | 2016-08-15 |
| 1861831851 | Tamara Alisha Moore | Behavioral Analyst | 5720 Oakwood St, Spencer, OK 73084-8639 | 2013-06-23 |
| 1497011001 | Tamara Lynn Moore | Pediatrics | 1811 E Bert Kouns Industrial Loop Ste 140, Shreveport, LA 71105-5741 | 2012-04-09 |
| 1760656722 | Tamara S Moore | Speech-Language Pathologist | 4218 W Morris Hill Rd, Boise, ID 83706-1949 | 2008-04-21 |
| 1467973768 | Tamara Kyle Moore | Nurse Practitioner | 200 Ports Authority Dr, Mount Pleasant, SC 29464-7998 | 2017-06-28 |
| 1336673292 | Tamara L Moore | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2017-04-18 |
| 1891236642 | Tamara Moore | Counselor | 6381 Sw 10th St, North Lauderdale, FL 33068-2717 | 2017-03-13 |
| 1780091470 | Tamara Moore | Nurse Practitioner | 1610 E Camelback Rd, Phoenix, AZ 85016-3902 | 2014-07-15 |
| 1962784348 | Tamara Y Moore | Pharmacist | 101 Conley Rd, Columbia, MO 65201-6465 | 2011-09-13 |
| 1417269333 | Tamara Moore | Pharmacist | 5130 Bellaire Blvd, Bellaire, TX 77401-4003 | 2010-07-08 |
| Street Address |
9403 MANSFIELD RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245570092 | Kellie Lynn Speed | Counselor | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2013-02-14 |
| 1437750700 | Hearise Hawkins | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2020-11-03 |
| 1396343646 | Gabrielle Cecile Kirchem | Counselor | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2020-10-09 |
| 1063022770 | Lakenya Louis | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2020-08-06 |
| 1528676251 | Demario Demond Dinkins | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2020-07-20 |
| 1790393759 | Jeremiah M Pounds | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2020-07-16 |
| 1396363123 | Grafton Latron Tucker Jr. | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2020-07-08 |
| 1528682705 | Marcus Dione Hooper | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2020-06-03 |
| 1811510837 | Tiffany Washington | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2020-05-26 |
| 1912529173 | Jala Rollins | Case Manager/Care Coordinator | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020479 | Whites All Star Consultant | Counselor | 631 E 85th St, Shreveport, LA 71106-5819 | 2020-07-10 |
| 1063046381 | Sharon H Harris | Counselor | 4420 Fairway Dr, Shreveport, LA 71109-4002 | 2020-02-25 |
| 1316422785 | Valencia Sims | Counselor | 6143 Buncombe Rd, Shreveport, LA 71129-4109 | 2018-10-01 |
| 1467954909 | Staughton Jennings | Counselor | 8501 Millicent Way Apt 1085, Shreveport, LA 71115-2231 | 2018-02-28 |
| 1790283638 | Brookys Haven | Counselor | 217 Jones St, Shreveport, LA 71101-4021 | 2018-01-25 |
| 1356859680 | Keshunna Goode | Counselor | 6308 Border Ln, Shreveport, LA 71119-7204 | 2018-01-22 |
| 1407364409 | Kelly Jane Casey | Counselor | 2620 Centenary Blvd Ste 207, Shreveport, LA 71104-3350 | 2018-01-12 |
| 1932619442 | Mark Bolding | Counselor | 8021 Fairfield Ave, Shreveport, LA 71106-5627 | 2017-10-10 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619493830 | Amri A Warren | Counselor | 2403 Helmsdale Ct, Shreveport, LA 71118-4546 | 2017-08-18 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
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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.