MARKETTA MOORE (NPI# 1902206444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902206444 |
| Entity Type | Individual |
| Full Name | MARKETTA MOORE |
| Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124856785 |
| Mailing Telephone | 9124856785 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0003X |
Registered Nurse Specialization: Obstetric, Inpatient |
1-126042 | AL | Nursing Service Providers |
| Street Address |
1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
| 1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
| 1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 163WX0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Obstetric, Inpatient |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568862084 | Kimberly Griffee | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-03 |
| 1770983280 | Rosalind Combs | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982972550 | Traci Dunn | Registered Nurse | 146 Berkten Ln, Lawrenceville, GA 30043-3051 | 2011-12-09 |
| 1861669061 | Erin Elizabeth Rodriguez | Registered Nurse | 175 Sailmaker Ln, Richmond Hill, GA 31324-1410 | 2008-05-15 |
| 1447896956 | Sydney Nicole Montgomery | Registered Nurse | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2019-11-19 |
| 1891330965 | Stephanie Brownson Soloway | Registered Nurse | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2019-11-13 |
| 1063975944 | Donnamarie Wilson | Registered Nurse | 1046 Ridge Ave Sw, Atlanta, GA 30315 | 2019-04-09 |
| 1760984769 | Adrienne Robinson | Registered Nurse | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2018-03-06 |
| 1932566387 | Sara Mitchell Edwards | Registered Nurse | 80 Jesse Hill Jr Drive Se, Atlanta, GA 30303 | 2016-01-15 |
| 1982072617 | Sheila Louissaint Lafortune | Registered Nurse | 5185 Peachtree Pkwy Ste 300, Peachtree Corners, GA 30092-6543 | 2015-09-11 |
| 1275965063 | Andreanna Maria Smith | Registered Nurse | 821 N Cobb St, Milledgeville, GA 31061-2343 | 2013-08-02 |
| 1750657680 | Tracey Anne White | Registered Nurse | 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2012-03-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on MARKETTA 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.