NANCY L MOORE (NPI# 1902946791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902946791 |
| Entity Type | Individual |
| Full Name | NANCY L MOORE |
| Practice Address |
808 Mill Lake Rd Fort Wayne IN 46845-6400 |
| Practice Telephone | 2603381241 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184194078 | Nancy C Moore | Counselor | 1432 E. 7th Street, Charlotte, NC 28204-3340 | 2018-12-04 |
| 1225560543 | Nancy Maria Moore | Home Health Aide | 209 Rocky Run Rd, Fredericksburg, VA 22406-5413 | 2017-03-28 |
| 1194066225 | Nancy T Moore | Registered Nurse | 400 Glenwood St, Greenwood, SC 29649-1523 | 2013-03-14 |
| 1407051535 | Nancy Elizabeth Moore | Social Worker | 2300 Lake Park Dr, Suite 100, Atlanta, GA 30080 | 2007-06-19 |
| 1417073149 | Nancy L Moore | Social Worker | 1613 Norcol Ln, Cincinnati, OH 45231-5224 | 2007-03-22 |
| 1639180714 | Nancy C Moore | Physical Therapist | 200 Srpings Rd, Bedford, MA 01730 | 2006-08-11 |
| 1780293845 | Nancy Kay Moore | Counselor | 118 Avenue C, Cloquet, MN 55720-1546 | 2020-07-24 |
| 1699134346 | Nancy Beatrice Moore | Nurse Practitioner | 4901 Forest Park Ave, Ste 341, Saint Louis, MO 63108-1495 | 2016-02-22 |
| 1902159874 | Nancy Marie Moore | Dietitian, Registered | 1210 S Cedar Crest Blvd, Ste 2400, Allentown, PA 18103-6229 | 2012-10-17 |
| 1811243165 | Nancy S Moore | Physical Therapist | 1819 W Clinch Ave Ste 106, Knoxville, TN 37916-2435 | 2012-07-24 |
| Street Address |
808 MILL LAKE RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578989570 | Haley Burkhart | Physical Therapist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2014-03-14 |
| 1770918815 | Rachel Marie Baker | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2013-09-09 |
| 1447692363 | Stephani Siples | Physical Therapy Assistant | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2013-07-19 |
| 1811338023 | Jennifer Bell | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2013-07-16 |
| 1992048896 | Melisa Beth Thayer | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2013-03-29 |
| 1447595087 | Shalee Myron | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2012-12-08 |
| 1548512320 | Nola Katinsky | Physical Therapist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2012-10-04 |
| 1487900361 | Jacqueline C Kepple | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2012-07-30 |
| 1053672196 | Elizabeth Comer | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2012-06-05 |
| 1831491810 | Leslie Gallmeier | Registered Nurse | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2010-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1871953364 | Res-care, Inc. | Day Training/Habilitation Specialist | 7561 W Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2016-02-26 |
| 1942833884 | Monchelle Denise Davis | Day Training/Habilitation Specialist | 9317 Madina Pkwy, Fort Wayne, IN 46825-1134 | 2020-02-19 |
| 1043856958 | Danyiel Colbert | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-11-26 |
| 1073159364 | Joy Davis | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-11-21 |
| 1194288639 | Yabome Korti | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-04-11 |
| 1548723109 | Amy Marie Sims | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-04-10 |
| 1346703071 | Tyler Hunter | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-04-10 |
| 1699238428 | Christina Marie Wolff | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-04-09 |
| 1801359682 | Jenna K Markley | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-04-09 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on NANCY L 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.