MARCIE MICHELLE MOORE (NPI# 1902351356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902351356 |
| Entity Type | Individual |
| Full Name | MARCIE MICHELLE MOORE |
| Credential | PMHNP |
| Practice Address |
515 28 3/4 Rd Grand Junction CO 81501-5016 |
| Mailing Address |
715 Horizon Dr Ste 225 Grand Junction CO 81506-8743 |
| Practice Telephone | 9702634918 |
| Practice Fax Number | 9706837278 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.1640413 | CO | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN.0992572-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849070 | Marcie Moore | Physical Therapist | 13575 W Indian School Rd, Ste 700, Litchfield Park, AZ 85340-4905 | 2005-05-24 |
| Street Address |
515 28 3/4 RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708176 | Colorado West Regional Mental Health, Inc. | Community/Behavioral Health | 515 28 3/4 Rd, Grand Junction, CO 81501 | 2005-05-23 |
| 1215536107 | Colorado West Psychiatric Hospital, Inc. | Psychiatry & Neurology | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2020-10-21 |
| 1801416680 | Bethany Malievsky | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2020-04-21 |
| 1336770601 | Robert Ellis Satterlee Jr. | Nurse Practitioner | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2020-01-27 |
| 1629608153 | Tamara L Lisco | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2020-01-23 |
| 1346806023 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-05-17 |
| 1033678982 | Cheryl Rose Marie Barker | Peer Specialist | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-03-19 |
| 1447719075 | Deanna Carol Killgore | Student in an Organized Health Care Education/Training Program | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-03-13 |
| 1427516293 | Vanessa Baker | Nurse Practitioner | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-03-11 |
| 1366900631 | Dusti Lynn Bennett | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713136 | Community Medical Group, LLC | Nurse Practitioner | 605 28 1/4 Rd, Grand Junction, CO 81506-6020 | 2019-07-31 |
| 1720376007 | Margaret Elizabeth Stoneback | Nurse Practitioner | 300 Main St Ste 201, Grand Junction, CO 81501-2404 | 2011-07-20 |
| 1760595292 | Ann M Cox | Nurse Practitioner | 2646 Patterson Rd Ste B, Grand Junction, CO 81506-1994 | 2006-08-17 |
| 1760081764 | Stoneback Psychiatric Services, LLC | Nurse Practitioner | 300 Main St Ste 201, Grand Junction, CO 81501-2404 | 2020-10-21 |
| 1225646011 | Sunflower Behavioral Health | Nurse Practitioner | 655 N 12th St, Grand Junction, CO 81501-3343 | 2020-07-17 |
| 1174153068 | Arata Psychiatry Group | Nurse Practitioner | 655 N 12th St, Grand Junction, CO 81501-3343 | 2020-01-20 |
| 1427516293 | Vanessa Baker | Nurse Practitioner | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2019-03-11 |
| 1083181192 | Eliza R Marroni | Nurse Practitioner | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2018-10-26 |
| 1487157707 | Andrea Esther Craighead | Nurse Practitioner | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2018-03-13 |
| 1871010066 | Alicia May Olson | Nurse Practitioner | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2017-08-28 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on MARCIE MICHELLE 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.