JACEN MOORE (NPI# 1962910158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962910158 |
| Entity Type | Individual |
| Full Name | JACEN MOORE |
| Credential | ATC |
| Practice Address |
1166 E Warner Rd Ste 101 Gilbert AZ 85296-3065 |
| Mailing Address |
610 E Roosevelt St Unit 142 Phoenix AZ 85004-1983 |
| Practice Telephone | 4804154214 |
| Practice Fax Number | 4804154214 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1534 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1166 E WARNER RD STE 101 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008427 | Nilaja Williams | Specialist/Technologist | 4173 E Carla Vista Dr, Gilbert, AZ 85295-6126 | 2020-09-18 |
| 1811537459 | Tawmie Denise-sky Berry | Specialist/Technologist | 6166 S Inez Dr, Gilbert, AZ 85298-4200 | 2020-01-12 |
| 1194244327 | Holly Louise Richards | Specialist/Technologist | 1226 S Larkspur Ct, Gilbert, AZ 85296-4090 | 2017-09-19 |
| 1285154187 | Jenna Kathleen Sorensen | Specialist/Technologist | 499 N. Ranger Trail, Gilbert, AZ 85234 | 2017-06-21 |
| 1932635554 | Alexandra Briana Foster | Specialist/Technologist | 415 E Windsor Dr, Gilbert, AZ 85296-4145 | 2017-05-02 |
| 1841725645 | Lauren Michelle Powers | Specialist/Technologist | 1083 E Bruce Ave, Gilbert, AZ 85234-9003 | 2017-04-29 |
| 1235597154 | Shelli Herseth | Specialist/Technologist | 179 N Starboard Dr, Gilbert, AZ 85234-6091 | 2016-02-05 |
| 1871980607 | Christen Ammon | Specialist/Technologist | 2599 East Bart Strret, Gilbert, AZ 85295 | 2015-04-20 |
| 1538555057 | Derick Lehman | Specialist/Technologist | 1332 E San Angelo Ave, Gilbert, AZ 85234-3623 | 2015-04-10 |
| 1114313897 | Kaylen Erchul | Specialist/Technologist | 6593 Sandy Ln, Gilbert, MN 55741-8261 | 2015-04-09 |
| Find all providers in GILBERT | ||||
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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.