AMANDA MOORE (NPI# 1962965939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962965939 |
| Entity Type | Individual |
| Full Name | AMANDA MOORE |
| Credential | QMHS |
| Practice Address |
4895 Dressler Rd Nw Ste A Canton OH 44718-2571 |
| Practice Telephone | 3304930083 |
| Mailing Telephone | 3304930083 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566546 | Amanda Faye Moore | Technician | 609 Poplar Ridge Rd, Sutton, WV 26601-3851 | 2020-10-21 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1538654215 | Amanda L Moore | Counselor | 555 Sparkman Dr Nw Ste 1615, Huntsville, AL 35816-3431 | 2018-06-26 |
| 1659756294 | Amanda Moore | Nurse Practitioner | 10443 W Beier Rd, Oak Harbor, OH 43449-9548 | 2015-07-24 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1477811354 | Amanda Moore | Social Worker | 5812 Dinsmore Ln, Belmont, NC 28012-8692 | 2012-04-27 |
| 1033435656 | Amanda Marie Moore | Physician Assistant | 8 N Race St, Georgetown, DE 19947 | 2010-04-08 |
| 1750610812 | Amanda J Moore | Chiropractor | 8671 Northpark Ct, Johnston, IA 50131 | 2009-12-18 |
| 1053597195 | Amanda Moore | Midwife | 1955 Graham Dr, Eugene, OR 97405-1790 | 2008-01-19 |
| 1639366313 | Amanda Kay Moore | Occupational Therapist | 2313 19th Ave, Forest Grove, OR 97116-2421 | 2007-09-26 |
| Street Address |
4895 DRESSLER RD NW STE A |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679088413 | Taylor Clay | Counselor | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2017-12-01 |
| 1992311088 | Zachary Mitchell | Case Manager/Care Coordinator | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2020-09-23 |
| 1417578998 | Lauren Tomlinson | Social Worker | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2020-05-06 |
| 1780218495 | Rebecca Mccullough | Social Worker | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2020-03-03 |
| 1710511415 | Heather Rolison | Counselor | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2020-03-03 |
| 1629629571 | Rose Barkman | Case Manager/Care Coordinator | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2019-09-23 |
| 1235692294 | Alisha Macintyre | Case Manager/Care Coordinator | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2019-04-08 |
| 1477016426 | Kylie Smith | Case Manager/Care Coordinator | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2019-04-08 |
| 1588127559 | Zachary Stover | Case Manager/Care Coordinator | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2019-04-08 |
| 1063980787 | Sierra Schempp | Social Worker | 4895 Dressler Rd Nw Ste A, Canton, OH 44718-2571 | 2018-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949475 | Olivia Clare Peer | Case Manager/Care Coordinator | 800 Market Ave N Ste 1600, Canton, OH 44702-2305 | 2020-07-14 |
| 1275154916 | Margaret Speller | Case Manager/Care Coordinator | 626 Walnut Ave Ne, Canton, OH 44702-1081 | 2020-05-05 |
| 1376034728 | Tyreia Louise Grimes | Case Manager/Care Coordinator | 122 Central Plz N Lowr Level, Canton, OH 44702-1448 | 2018-05-22 |
| 1013419084 | Susan Marie Rayner | Case Manager/Care Coordinator | 400 Tuscarawas St W Ste 300, Canton, OH 44702-2044 | 2018-03-06 |
| 1073051272 | R'ajja Lee Turpin-allison | Case Manager/Care Coordinator | 3236 Kalahari St Ne, Canton, OH 44705-3606 | 2017-02-08 |
| 1053863159 | Loralynn Wharton | Case Manager/Care Coordinator | 321 Ironwood St Se, Canton, OH 44707-1458 | 2016-10-25 |
| 1053862151 | Dionna T Stokes-ellis | Case Manager/Care Coordinator | 919 Second St Se, Canton, OH 44704 | 2016-10-24 |
| 1447632120 | Rashan Hall | Case Manager/Care Coordinator | 1321 18th St Ne, Canton, OH 44705-1225 | 2015-06-18 |
| 1639418163 | Marilynn L Farrow | Case Manager/Care Coordinator | 1522 Timber Trce, Canton, GA 30114-8900 | 2013-02-04 |
| 1083974869 | Melinda Miles | Case Manager/Care Coordinator | 311 W. Main Street, Canton, OK 73724 | 2012-05-25 |
| Find all providers in CANTON | ||||
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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.