STEPHANIE MOORE (NPI# 1912543497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912543497 |
| Entity Type | Individual |
| Full Name | STEPHANIE MOORE |
| Credential | CADC |
| Practice Address |
520 11th St Nw Cedar Rapids IA 52405-3811 |
| Practice Telephone | 3193983562 |
| Practice Fax Number | 3193983501 |
| Mailing Telephone | 3193983562 |
| Mailing Fax Number | 3193983501 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
19016 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0074575 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299265 | Stephanie Angela Moore | Nurse Practitioner | 10850 Navajo Dr, New Port Richey, FL 34654-5233 | 2020-06-10 |
| 1174143432 | Stephanie Moore | Behavior Technician | 3205 N Dustin Ave, Farmington, NM 87401-9229 | 2020-04-16 |
| 1386113421 | Stephanie Jade Moore | Counselor | 1104 Vine Street, Batesville, AR 72501-8638 | 2018-11-19 |
| 1609371285 | Stephanie Michelle Moore | Physical Therapy Assistant | 11618 Us Hwy 70 W Ste 100, Clayton, NC 27520-2276 | 2018-03-27 |
| 1134639891 | Stephanie Moore | Counselor | 418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 | 2017-10-09 |
| 1851711337 | Stephanie Moore | Health Educator | 2438 Laconia Avenue, Bronx, NY 10469 | 2014-04-23 |
| 1467752584 | Stephanie K Moore | Social Worker | 308 Indigo Drive, Cary, NC 27513-3322 | 2010-10-22 |
| 1275789448 | Stephanie Strong Moore | Dentist | 2025 Glennfield Lane, Augusta, GA 30909 | 2008-08-07 |
| 1376676585 | Stephanie Moore | Behavioral Analyst | 3904 Seasons Pt, Evansville, IN 47715-1389 | 2007-03-14 |
| 1740261486 | Stephanie A Moore | Internal Medicine | 55 Fruit St # 800, Department of Cardiovascular Medicine, Boston, MA 02114-2621 | 2005-11-09 |
| Street Address |
520 11TH ST NW |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52405-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952389819 | Robert J Metzger IIi | Counselor | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2006-01-02 |
| 1093327918 | Nicole L Moore | Social Worker | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2020-08-21 |
| 1114543683 | Helen Neumann | Social Worker | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2020-06-22 |
| 1619598869 | Katherine Shea | Nurse Practitioner | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2020-04-29 |
| 1629617469 | Amy S Morin | Nurse Practitioner | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-12-26 |
| 1881231785 | Megan Engen | Registered Nurse | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-12-10 |
| 1255991139 | Nicolette Nefzger | Marriage & Family Therapist | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2019-06-13 |
| 1619460201 | Ikama Sasa | Nurse Practitioner | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2018-06-08 |
| 1528555356 | Brittany Smelser | Physician Assistant | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2018-04-17 |
| 1669981171 | Amy March | Social Worker | 520 11th St Nw, Cedar Rapids, IA 52405-3811 | 2017-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
| 1497202923 | Mary Frances Schmidt-luhring | Counselor | 3100 E Ave Nw, Suite 105, Heart and Solutions, LLC, Cedar Rapids, IA 52405 | 2016-09-01 |
| 1013298116 | Daniel Hernandez | Non-emergency Medical Transport (VAN) | 408 Day St Northwest, Cedar Rapids, IA 52405 | 2011-09-01 |
| 1528374758 | Matthew Lorenzo Vasquez | Social Worker | 3113 1st Ave Nw, Cedar Rapid, IA 52405 | 2010-08-25 |
| 1770643470 | Douglas P Dvorak | Chiropractor | 1427 6th St Nw, Cedar Rapids, IA 52405 | 2006-12-11 |
| 1144396326 | West Ridge Associates Inc | Skilled Nursing Facility | 3131 F Ave Nw, Cedar Rapids, IA 52405 | 2006-11-28 |
| 1134120405 | Toni Neta | Social Worker | 3100 E Avenue Nw, Suite 101, Cedar Rapids, IA 52405 | 2005-08-09 |
| 1013918051 | Carol Ogea | Social Worker | 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405 | 2005-08-01 |
| 1275617854 | Kristen Jean Wagaman | Nurse Practitioner | 75 Short St Nw, Cedar Rapids, IA 52405 | 2006-10-24 |
| 1225020092 | Karen Penick | Social Worker | 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405 | 2005-08-18 |
| Find all providers in zip 52405 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1700418571 | Daniel Ryan Chute | Counselor | 317 7th Ave Se # 203, Cedar Rapids, IA 52401-2007 | 2020-02-10 |
| 1477107555 | Patrick J Mcmannus | Counselor | 2950 Samuel Ct Sw Unit A, Cedar Rapids, IA 52404-7854 | 2019-07-28 |
| 1992286835 | Megan Young | Counselor | 4837 1st Ave Se Ste 206, Cedar Rapids, IA 52402-3226 | 2018-08-28 |
| 1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
| 1508343278 | Kathleen Marie Brogla | Counselor | 4050 Bowling St Sw, Cedar Rapids, IA 52404-5005 | 2018-07-25 |
| 1972080653 | Shirley Ann Schneider | Counselor | 317 7th Ave Se Ste 203, Cedar Rapids, IA 52401-2007 | 2018-07-25 |
| 1437652450 | Kim Charles Harban | Counselor | 2434 O Ave Nw, Cedar Rapids, IA 52405-1435 | 2018-03-15 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52405 |
Please comment or provide details below to improve the information on STEPHANIE 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.