DR. DIANA MOORE (NPI# 1902203847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902203847 |
Entity Type | Individual |
Full Name | DR. DIANA MOORE |
Credential | PHD |
Practice Address |
1323 Bia Rd. 20 Fort Thomspson SD 57339 |
Practice Telephone | 6052451525 |
Mailing Telephone | 6052451525 |
Enumeration Date | 2014-11-20 |
Last Update Date | 2016-11-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
2506 | OR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 5549010 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342218 | Diana E Moore | Nurse Practitioner | 1800 Ridgemar Dr, Cleburne, TX 76031-1353 | 2020-10-04 |
1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
1093768806 | Diana Mckenzie Moore | Optometrist | 400 Bryant Ave, Bryant, AR 72022-3813 | 2006-05-19 |
1013496306 | Diana Lou Moore | Technician | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2018-08-08 |
1740703735 | Diana Moore | Occupational Therapist | 342 Birnie Ave, Springfield, MA 01107-1104 | 2017-07-20 |
1073053294 | Diana Moore | Social Worker | 11120 S Crown Way, Suite 1, Wellington, FL 33414-8718 | 2017-03-07 |
1710330097 | Diana T Moore | Counselor | G3500 Flushing Rd Ste 250, Flint, MI 48504-4238 | 2016-07-21 |
1487856738 | Diana Moore | Pharmacist | 2250 Hickory Rd, Ste 240, Plymouth Meeting, PA 19462-1047 | 2007-05-31 |
1245370360 | Diana Moore | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2007-02-07 |
1104985233 | Diana R Moore | Counselor | 2020 Brown St, Anderson, IN 46016-4218 | 2006-12-06 |
Street Address |
1323 BIA RD. 20 |
City | FORT THOMSPSON |
State | SD |
Zip Code | 57339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942850862 | Kimberli Mae Hastings | Registered Nurse | 125 Sd Hwy 246, Fort Thompson, SD 57339 | 2019-09-12 |
1225411945 | Horizon Health Care Inc | Clinic/Center | 125 Sd Hwy 249, Fort Thompson, SD 57339 | 2015-06-30 |
1902286081 | Stephanie Feltman | Nurse Practitioner | 1323 Bia Rd 20, Fort Thompson, SD 57339 | 2015-06-04 |
1952706921 | Denis Lamonte Jones | Dentist | Denis I. Jones Dds, Phs Indian Health Center, Fort Thompson, SD 57339 | 2014-11-03 |
1932523644 | Ft Thompson Health Center | Clinic/Center | 1323 Bia Rte #4, Ft. Thompson, SD 57339 | 2014-02-17 |
1720402498 | Ft Thompson Ihs Health Center | Clinic/Center | 1323 Bia Rte 4, Ft Thompson, SD 57339 | 2014-02-14 |
1265764450 | Aaron Lapointe | Psychologist | 1323 Bia Route, Fort Thompson, SD 57339 | 2010-02-12 |
1033248059 | Fort Thompson Ihc Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 47 and Hwy 34, Fort Thompson, SD 57339 | 2007-03-05 |
1154480390 | Cynthia Shirley Wall | Pharmacist | Hwy 47 and 34, Ft. Thompson, SD 57339 | 2006-12-06 |
1760493811 | Renette Lynne Kroupa | Physician Assistant | Hwy 34/47, Fort Thompson, SD 57339 | 2006-08-11 |
Find all providers in zip 57339 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417503822 | Alicia Claire Mousseau | Psychologist | 112 Mousseau Lane, Porcupine, SD 57772-0184 | 2019-08-12 |
1225310345 | Erick Messler | Psychologist | 327 Broadway Ave Ste 13, Yankton, SD 57078-7800 | 2011-09-14 |
1265764450 | Aaron Lapointe | Psychologist | 1323 Bia Route, Fort Thompson, SD 57339 | 2010-02-12 |
1700115904 | Psychology Associates,inc. | Psychologist | 2900 E 26th St Ste 306, Sioux Falls, SD 57103-4060 | 2009-12-17 |
1730412867 | Darlene Marie Wilcox | Psychologist | 1723 Brentwood St, Rapid City, SD 57701-0724 | 2009-09-08 |
1548409246 | Oliver John Barton | Psychologist | 910 W Havens Ave, Mitchell, SD 57301-3831 | 2009-02-19 |
1477700086 | Carver Grupp Psychological Services Inc. | Psychologist | 1818 W Fulton St Ste 201, Rapid City, SD 57702-4347 | 2008-08-26 |
1194908889 | Mark C Daniels | Psychologist | 409 S Pine St, Vermillion, SD 57069-3515 | 2007-12-17 |
1699982371 | Bradley D. Woldt | Psychologist | 928 4th St, Suite 6, Brookings, SD 57006-2171 | 2007-05-16 |
1699810879 | Joel Vincent Merkwan | Psychologist | 327 Broadway Ave Ste 15, Yankton, SD 57078-7800 | 2007-02-21 |
Find all providers with the same taxonomy |
City | FORT THOMSPSON |
Zip Code | 57339 |
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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.