MS. SHELLEY L MOORE (NPI# 1932458783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932458783 |
| Entity Type | Individual |
| Full Name | MS. SHELLEY L MOORE |
| Credential | RAS |
| Practice Address |
40 Landing Cir Ste 1 Chico CA 95973-7901 |
| Practice Telephone | 5308988326 |
| Practice Fax Number | 5308980239 |
| Mailing Telephone | 5308988326 |
| Mailing Fax Number | 5308980239 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |
| 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) |
M0508301512 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215479118 | Shelley Moore | Behavior Technician | 506 W Jackman St, Lancaster, CA 93534-2531 | 2016-11-08 |
| 1225468762 | Shelley Moore | Physical Therapy Assistant | 5211 Marsh Rd, Okemos, MI 48864-1106 | 2013-11-20 |
| 1982844460 | Shelley Marie Moore | Nurse Practitioner | 3368 Highway 280, Suite 107, Alexander City, AL 35010-3393 | 2009-02-24 |
| 1144275215 | Shelley W. Moore | Emergency Medicine | 3519 Richmond Dr, Fort Collins, CO 80526 | 2006-05-24 |
| Street Address |
40 LANDING CIR STE 1 |
| City | CHICO |
| State | CA |
| Zip Code | 95973-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205183761 | David Brian Burke | Counselor | 40 Landing Cir Ste 1, Chico, CA 95973-7901 | 2012-08-14 |
| 1265814156 | Dyan Diamond | Counselor | 40 Landing Cir Ste 1, Chico, CA 95973-7901 | 2015-06-26 |
| 1437558764 | Kurtis Rafoth IIi | Counselor | 40 Landing Cir Ste 1, Chico, CA 95973-7901 | 2014-08-22 |
| 1407281652 | Martin A Bettencourt | Substance Abuse Rehabilitation Facility | 40 Landing Cir Ste 1, Chico, CA 95973-7901 | 2013-09-06 |
| 1295085447 | Jerry Lee Knight | Counselor | 40 Landing Cir Ste 1, Chico, CA 95973-7901 | 2012-09-14 |
| 1588913313 | Edward Arthur Sprague Iv | Counselor | 40 Landing Cir Ste 1, Chico, CA 95973-7901 | 2012-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679066997 | Jennifer Ballintine | Dietitian, Registered | 2511 Navarro Drive, Chico, CA 95973 | 2018-06-11 |
| 1760900724 | Judith Mercedes Sneed | Counselor | 1360 E. Lassen Ave, Chico, CA 95973 | 2017-08-30 |
| 1134643497 | Stone Creek Counseling Center, Inc. | Counselor | 30 Landing Circle, Ste. 200, Chico, CA 95973 | 2017-07-28 |
| 1699298323 | Wyatt Pforsich | Student in an Organized Health Care Education/Training Program | 4038 Augusta Ln, Chico, CA 95973 | 2017-07-25 |
| 1407386006 | Martha Martinez | Case Manager/Care Coordinator | 10 Indepence Circle, Chico, CA 95973 | 2017-06-15 |
| 1871045401 | Nupur Group, LLC | General Practice | 729 Windham Way, Chico, CA 95973 | 2016-10-31 |
| 1922550664 | Pablo Zubiate | Perfusionist | 13999 Limousin Drive, Chico, CA 95973 | 2016-10-28 |
| 1376090944 | Sarah Scharf | Behavioral Analyst | 15 Declaration Dr., Chico, CA 95973 | 2016-09-01 |
| 1336518323 | Karie Frances Kaufman | Marriage & Family Therapist | 60 Landing Cir, Ste 1, Chico, CA 95973 | 2015-09-19 |
| 1013251404 | Brigette Marie Brown | Speech-Language Pathologist | 2870 Cactus Ave, Chico, CA 95973 | 2012-11-26 |
| Find all providers in zip 95973 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962912642 | Alberta Caldwell | Counselor | 560 Cohasset Rd Ste 140, Chico, CA 95926-2281 | 2017-10-06 |
| 1902201338 | Ajuana Clements | Counselor | 556 Cohasset Rd, Chico, CA 95926-2212 | 2014-10-28 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| 1710303722 | Timothy D Stephens | Counselor | 592 Manzanita Ave, Chico, CA 95926-1323 | 2014-03-14 |
| 1285981753 | Cathi Marie Schmitz | Counselor | 3105 Esplanade, Chico, CA 95973-0202 | 2012-08-14 |
| 1902153471 | Debora Elaine Mcrae | Counselor | 40 Landing Cir, Chico, CA 95973-7901 | 2012-08-14 |
| 1205183761 | David Brian Burke | Counselor | 40 Landing Cir Ste 1, Chico, CA 95973-7901 | 2012-08-14 |
| 1366751851 | Marla Marie Hooper | Counselor | 2445 Almandor Cir Apt 2, Chico, CA 95926-1061 | 2010-09-30 |
| 1174765689 | Corinne Mehri Jenab | Counselor | 590 Rio Lindo Ave., Chico, CA 95926 | 2009-03-30 |
| 1326288523 | Mike Paul Visconti | Counselor | 4133 Highway 32, Chico, CA 95973 | 2009-02-27 |
| Find all providers in CHICO | ||||
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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.