CASSANDRA MOORE (NPI# 1902446800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902446800 |
| Entity Type | Individual |
| Full Name | CASSANDRA MOORE |
| Credential | PMHNP-BC |
| Practice Address |
201 N College St Ste 105 Brandon MS 39042-4439 |
| Mailing Address |
245 E Petros Rd Pearl MS 39208-8737 |
| Practice Telephone | 6018256010 |
| Practice Fax Number | 6018257146 |
| Mailing Telephone | 6015000840 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 903707 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081576 | Cassandra Moore | Registered Nurse | 3863 Seabeck Holly Rd Nw, Seabeck, WA 98380-9227 | 2019-06-10 |
| 1437466893 | Cassandra Jean Moore | Counselor | 4667 Macarthur Blvd Ste 320, Newport Beach, CA 92660-1867 | 2010-09-07 |
| 1457415853 | Cassandra Jo Moore | Counselor | 580 North Church Street, Swansea, SC 29160 | 2006-12-20 |
| 1275198574 | Cassandra Lynnette Moore | Occupational Therapist | 4501 Louise Underwood Way, Louisville, KY 40216-3987 | 2019-05-02 |
| 1194204941 | Cassandra Moore | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2018-08-13 |
| 1093216152 | Cassandra Rena Moore | Counselor | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2018-02-23 |
| 1912423252 | Cassandra Jo Moore | Counselor | 1720 Nw Lovejoy St, Portland, OR 97209-2346 | 2017-08-18 |
| 1568919223 | Cassandra Moore | Counselor | 1040 Longfield Ct, Montgomery, AL 36117-8055 | 2016-09-09 |
| 1669843967 | Cassandra Rose Moore | Counselor | 617 S Green St, Suite 300, Morganton, NC 28655-3517 | 2015-10-13 |
| 1265742530 | Cassandra Moore | Case Manager/Care Coordinator | 768 Pleasant Valley Rd, Ste 304, Diamond Springs, CA 95619 | 2010-10-20 |
| Street Address |
201 N COLLEGE ST STE 105 |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-4439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652049 | Roxian H Odom | Nurse Practitioner | 201 N College St Ste 105, Brandon, MS 39042-4439 | 2019-07-26 |
| 1962050310 | Mindfull, P. A. | Nurse Practitioner | 201 N College St Ste 105, Brandon, MS 39042-4439 | 2019-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494426 | Sarah L Hamlin | Nurse Practitioner | 2020 Town Center Blvd Ste C, Brandon, FL 33511-2906 | 2020-07-08 |
| 1194360289 | Tracy Lynne Burke | Nurse Practitioner | 308 Brandon Town Center Mall, Brandon, FL 33511-4722 | 2019-11-12 |
| 1790249738 | Josa Rae Spencer | Nurse Practitioner | 806 Jason Cv, Brandon, MS 39047-6290 | 2019-01-23 |
| 1326548686 | Felecia Maria Sanchious | Nurse Practitioner | 403 S Kings Ave Ste 150, Brandon, FL 33511-5980 | 2018-02-13 |
| 1093179228 | Krista White | Nurse Practitioner | 2020 Town Center Blvd Ste B, Brandon, FL 33511-2906 | 2016-04-13 |
| 1871902130 | Tanika Williams | Nurse Practitioner | 910 Oakfield Dr Ste 201a, Brandon, FL 33511-4925 | 2014-08-11 |
| 1831437318 | Kami Joanne Yost | Nurse Practitioner | 515 Medical Oaks Ave, Brandon, FL 33511-5961 | 2013-01-18 |
| 1134349913 | Jennifer Wedgeworth Mooneyham | Nurse Practitioner | 1127 Old Fannin Rd, Suite C, Brandon, MS 39047-9265 | 2007-04-26 |
| 1497739742 | Nancy Helen Frizzell | Nurse Practitioner | 1933 W Lumsden Rd, Brandon, FL 33511-8819 | 2005-11-30 |
| 1417943424 | Joann Basso Cundy | Nurse Practitioner | 270 S Moon Ave, Brandon, FL 33511-5711 | 2005-09-25 |
| Find all providers in BRANDON | ||||
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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.