JOAN MARIE MOORE (NPI# 1912484437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912484437 |
| Entity Type | Individual |
| Full Name | JOAN MARIE MOORE |
| Credential | PMHNP |
| Practice Address |
1200 N Beaver St Flagstaff AZ 86001-3118 |
| Mailing Address |
341 E David Dr Flagstaff AZ 86001-3243 |
| Practice Telephone | 9287793366 |
| Mailing Telephone | 5208202841 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP11589 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770744252 | Joan Faye Moore | Counselor | 223 County Road 1749, Chico, TX 76431-3124 | 2008-06-18 |
| 1619024759 | Joan L Moore | Neuromusculoskeletal Medicine & OMM | Rt 1 Box 123 Anthony Creek Road, ., Frankford, WV 24938-0097 | 2007-01-04 |
| 1104308972 | Joan Michelle Moore | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2018-08-29 |
| 1821483231 | Joan Moore | Nurse Practitioner | 18450 Highway 59 N, Humble, TX 77338-4404 | 2015-04-02 |
| 1699980987 | Joan M Moore | Nurse Practitioner | 305 Estill St, Cpo 2174, Berea, KY 40403-1742 | 2007-05-11 |
| 1487774162 | Joan Lucille Moore | Registered Nurse | 7490 W Union Hills Dr, Glendale, AZ 85308-8151 | 2007-03-29 |
| 1528143617 | Joan Martin Moore | Clinical Nurse Specialist | 114 Woodland St, Hartford, CT 06105-1208 | 2006-10-26 |
| 1205923836 | Joan E Moore | Counselor | 4720 Kingsway Dr, Ste 400, Indianapolis, IN 46205-1555 | 2006-10-06 |
| Street Address |
1200 N BEAVER ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241189 | Alvin B Elisco | Internal Medicine | 1200 N Beaver St, Fmc Hospitalists, Flagstaff, AZ 86001-3118 | 2005-08-02 |
| 1285240515 | Amika Noel | Nurse Anesthetist, Certified Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-09-22 |
| 1669084190 | Margaret Grace Mcgough | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-08-17 |
| 1942818398 | Regan Rowson | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-07-21 |
| 1871118984 | Nancy Gloria Flores | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-06-15 |
| 1679100705 | Kristy Anderson | Occupational Therapist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-26 |
| 1164058087 | Bryan J Ebeling | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-23 |
| 1447808407 | Bryce Aldworth Randall | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-09-03 |
| 1851952162 | Samuel Small | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-26 |
| 1235797283 | Rebecca R Boger | Dietitian, Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| 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 |
|---|---|---|---|---|
| 1750864252 | Stephen Evan Taylor | Nurse Practitioner | 1890 N Venus Dr, Flagstaff, AZ 86001-2503 | 2018-09-11 |
| 1902105661 | Joanne Ivy Isaacs | Nurse Practitioner | 620 1/2 W Birch Ave, Flagstaff, AZ 86001-4416 | 2011-03-21 |
| 1649334293 | Maria Margaret Denny | Nurse Practitioner | Fronske Health Ctr, P.o. 6033, Flagstaff, AZ 86011-0001 | 2006-12-20 |
| 1407829997 | Marsha J Ashurst | Nurse Practitioner | 2700 W Lynette Dr, Flagstaff, AZ 86001-1028 | 2006-02-07 |
| 1285269852 | Cameo Johnson Np, Pllc | Nurse Practitioner | 914 N San Francisco St Ste D, Flagstaff, AZ 86001-3254 | 2020-03-04 |
| 1518590553 | Cameo Elizabeth Johnson | Nurse Practitioner | 914 N San Francisco St Ste D, Flagstaff, AZ 86001-3254 | 2020-02-18 |
| 1215580469 | Rachel Bonvillain Josefchuk | Nurse Practitioner | 1515 E Cedar Ave Ste B-4, Flagstaff, AZ 86004-1645 | 2019-07-17 |
| 1508428368 | Rebecca Landon | Nurse Practitioner | 1338 W Forest Meadows St Ste 140, Flagstaff, AZ 86001-7226 | 2019-07-02 |
| 1396227609 | Phoenix Mental Health and Wellness Pllc | Nurse Practitioner | 914 N San Francisco St Ste D, Flagstaff, AZ 86001-3254 | 2018-09-04 |
| 1962910760 | Phillip Casey Dubravcic | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2018-01-15 |
| Find all providers in FLAGSTAFF | ||||
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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.