MS. JACQUELINE ADELE MOORE (NPI# 1952655466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952655466 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE ADELE MOORE |
| Credential | MT |
| Practice Address |
1048 Spinnaker St Elgin IL 60123-8587 |
| Practice Telephone | 2246282716 |
| Mailing Telephone | 2246282716 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227005797 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222754 | Jacqueline Blair Moore | Counselor | 14651 Dallas Pkwy Ste 134, Dallas, TX 75254-8904 | 2019-08-30 |
| 1376103838 | Jacqueline Faith Moore | Marriage & Family Therapist | 5450 Ralston St Ste 101, Ventura, CA 93003-6042 | 2019-06-17 |
| 1033611256 | Jacqueline Moore | Registered Nurse | 314 Main St Ste D, Monticello, MS 39654-3702 | 2018-03-03 |
| 1659649002 | Jacqueline Historian Moore | Licensed Practical Nurse | 6256 Hillandale Dr Apt 803, Lithonia, GA 30058-2432 | 2011-12-13 |
| 1619173838 | Jacqueline Diana Moore | Surgery | 2280 Opitz Blvd Ste 110, Woodbridge, VA 22191-3362 | 2007-06-25 |
| 1962059980 | Jacqueline Moore | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2019-08-23 |
| 1336702638 | Jacqueline Dyan Moore | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-04-22 |
| 1336702315 | Jacqueline Moore | Developmental Therapist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2019-04-16 |
| 1598235889 | Jacqueline Marie Moore | Nurse Practitioner | 101 E 8th St Ste 110, Vancouver, WA 98660-3294 | 2018-11-29 |
| 1245705631 | Jacqueline Moore | Peer Specialist | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2018-10-11 |
| Street Address |
1048 SPINNAKER ST |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-8587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| 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 |
|---|---|---|---|---|
| 1427528769 | Tamika Monique Lee | Massage Therapist | 566 Spears Creek Church Rd Ste 100, Elgin, SC 29045-8128 | 2018-11-29 |
| 1114379476 | Janet Ross | Massage Therapist | 1970 Larkin Ave Ste 7, Elgin, IL 60123-5891 | 2016-07-11 |
| 1609283464 | Christina Nickie Saysamphan | Massage Therapist | 1425 N Mclean Blvd Ste 700, Elgin, IL 60123-5724 | 2014-07-14 |
| 1609201045 | Yolanda Hernandez | Massage Therapist | 640 Congdon Ave, Elgin, IL 60120-2428 | 2013-09-04 |
| 1679912489 | Nora S Adams | Massage Therapist | 36w659 Highland Ave, Elgin, IL 60123-4817 | 2013-06-14 |
| 1821338278 | Joyce Kosin | Massage Therapist | 85 Market St, Elgin, IL 60123-5083 | 2013-02-21 |
| 1932457108 | Marques A Fobbs Sr. | Massage Therapist | 264 Haigs Crk N, Elgin, SC 29045-8328 | 2012-08-20 |
| 1801098710 | Dawn Denise Maychszak | Massage Therapist | 508 Miller Dr, Elgin, IL 60123-7256 | 2007-06-03 |
| 1164765780 | Knead A Massage, LLC | Massage Therapist | 450 Shepard Dr, Suite #7, Elgin, IL 60123-7033 | 2013-04-02 |
| 1134446537 | Ajrije Alitovska | Massage Therapist | 104 Tyler Creek Plz, Elgin, IL 60123-1784 | 2010-04-23 |
| Find all providers in ELGIN | ||||
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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.