GINA MARIE MOORE (NPI# 1942771472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942771472 |
Entity Type | Individual |
Full Name | GINA MARIE MOORE |
Practice Address |
151 N 4th Ave Ste A Pocatello ID 83201-6300 |
Mailing Address |
1730 W Quinn Rd Trlr 420 Pocatello ID 83202-2815 |
Practice Telephone | 2082264434 |
Mailing Telephone | 2082264434 |
Enumeration Date | 2018-12-10 |
Last Update Date | 2018-12-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MAS-3035 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538530936 | Gina Moore | Behavioral Analyst | 1258 Juniper Beach Rd, Camano Island, WA 98282-8825 | 2015-10-12 |
1801023775 | Gina Borelli Moore | Marriage & Family Therapist | 1330 Lincoln Ave Ste 301, San Rafael, CA 94901-2143 | 2009-06-17 |
1043356132 | Gina Campbell Moore | Obstetrics & Gynecology | 428 Hospital Drive, Warrenton, VA 20186-3026 | 2007-01-29 |
1558819953 | Gina Moore | Counselor | 3167 Fulton Rd, Cleveland, OH 44109-1465 | 2016-09-14 |
1366711681 | Gina Moore | Pharmacist | 12850 E Montview Blvd, Aurora, CO 80045-2605 | 2011-12-14 |
1639364730 | Gina Renee Moore | Registered Nurse | 7303 Las Brisas Dr, Houston, TX 77083-4325 | 2007-09-11 |
1376740712 | Gina Diana Moore | Physical Therapist | 511 N Broad St, Philadelphia, PA 19123-3230 | 2007-06-29 |
1992786248 | Gina L Moore | Nurse Practitioner | 530 N Michigan St, Argos, IN 46501-1134 | 2005-11-11 |
Street Address |
151 N 4TH AVE STE A |
City | POCATELLO |
State | ID |
Zip Code | 83201-6300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
Find all providers in zip 83201 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336779214 | Corwin Allen West | Massage Therapist | 920 Deon Dr Ste A, Pocatello, ID 83201-3069 | 2020-01-20 |
1902466535 | Terri L Droghei | Massage Therapist | 312 W Center St, Pocatello, ID 83204-3244 | 2019-06-17 |
1790260032 | Melissa Bradley | Massage Therapist | 809 W Cedar St, Pocatello, ID 83201-6139 | 2018-10-02 |
1417475492 | Deanna Emilia Giokas | Massage Therapist | 550 Memorial Dr, Pocatello, ID 83201-4063 | 2017-08-30 |
1760869291 | Angelina Thelin | Massage Therapist | 920 Dion Drive, Pocatello, ID 83201-3069 | 2015-05-05 |
1417377110 | Amber Hoopes | Massage Therapist | 115 S 15th Ave Ste C, Pocatello, ID 83201-4068 | 2014-04-21 |
1700112448 | Lisa Stuban | Massage Therapist | 2688 Hillview Dr, Pocatello, ID 83201-2503 | 2009-10-31 |
1417960899 | Mary A. Schmidt | Massage Therapist | 2010 Flandro Dr, Pocatello, ID 83202-1947 | 2006-08-15 |
1588172050 | Chelsey Joy Williams | Massage Therapist | 420 W Lewis St, Pocatello, ID 83204-3218 | 2018-01-18 |
1255721452 | Ana Raya | Massage Therapist | 1800 Flandro Dr, Suite 190, Pocatello, ID 83202-4912 | 2015-01-27 |
Find all providers in POCATELLO |
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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.