CANDICE DIANE MOORE (NPI# 1972043131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972043131 |
Entity Type | Individual |
Full Name | CANDICE DIANE MOORE |
Other Name | CANDICE THOMPSON |
Practice Address |
2201 Forest Ln Garland TX 75042-7957 |
Mailing Address |
4061 Cargill Dr Round Rock TX 78681-5523 |
Practice Telephone | 9722766822 |
Mailing Telephone | 5124709264 |
Enumeration Date | 2017-03-06 |
Last Update Date | 2017-03-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP133309 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578047338 | Candice Moore | Counselor | 1375 Camilla Dr, Greenville, NC 27834-9556 | 2018-09-18 |
1629555131 | Candice M. Moore | Optometrist | 4465 Jimmy Lee Smith Pkwy Ste 101, Hiram, GA 30141-2723 | 2018-07-26 |
1538565106 | Candice Moore | Occupational Therapist | 105a Windmill Cv, Grenada, MS 38901-9305 | 2014-11-10 |
1447884846 | Candice Renee Moore | Nurse Practitioner | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-02-25 |
1902257165 | Candice Nicole Moore | Nurse Practitioner | 950 Brookway Blvd, Brookhaven, MS 39601-2644 | 2016-06-28 |
1558745042 | Candice Gail Moore | Counselor | 10601 Grant Rd, Suite 115b, Houston, TX 77070-4400 | 2015-07-14 |
1881932770 | Candice Moore | Physical Therapist | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2013-01-28 |
1174699011 | Candice M. Moore | Occupational Therapist | 4500 Interstate 55 North, Suite 291, Highland Village, Jackson, MS 39211 | 2006-11-24 |
1326013228 | Candice A. Moore | Psychiatry & Neurology | 815 S Ash St, Nevada, MO 64772-3222 | 2006-02-22 |
Street Address |
2201 FOREST LN |
City | GARLAND |
State | TX |
Zip Code | 75042-7957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427059716 | First Family Healthcare Associates, P.a. | Preferred Provider Organization | 2201 Forest Ln, Garland, TX 75042-7957 | 2005-08-09 |
1285110494 | Nicholas Stephen Dressel | Nurse Practitioner | 2201 Forest Ln, Garland, TX 75042-7957 | 2018-07-11 |
1386882926 | Mary G. Conrad | Nurse Practitioner | 2201 Forest Ln, Garland, TX 75042-7957 | 2009-02-03 |
1447440979 | Agnieszka Kitowicz | Family Medicine | 2201 Forest Ln, Garland, TX 75042-7957 | 2007-07-31 |
1063622322 | Walter Duane Hinshaw | Family Medicine | 2201 Forest Ln, Garland, TX 75042-7957 | 2007-05-23 |
1245452762 | Paul M Garmon Jr Do Pa | Family Medicine | 2201 Forest Ln, Suite 2, Garland, TX 75042-7982 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
Find all providers in zip 75042 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590658 | Jacinta Adaugo Unamba | Nurse Practitioner | 2217 Hollow Way, Garland, TX 75041-2189 | 2020-08-29 |
1376176669 | Nkechinyere Charity Echefu | Nurse Practitioner | 2730 Serena Ct, Garland, TX 75040-3847 | 2020-02-15 |
1710522560 | Daphne Weed | Nurse Practitioner | 1038 Holland Dr, Garland, TX 75040-4226 | 2019-11-14 |
1285277822 | Geena Joy | Nurse Practitioner | 2505 Channel Isle Dr, Garland, TX 75043-1492 | 2019-10-27 |
1548721368 | Ancy Abraham George | Nurse Practitioner | 4425 Sea Sparrow Ln, Garland, TX 75043-2677 | 2019-03-26 |
1205300597 | Nnedi Nwosu | Nurse Practitioner | 4714 Bungalow Dr, Garland, TX 75043-6469 | 2019-01-19 |
1447721873 | Care Express Medical Center LLC | Nurse Practitioner | 3641 Broadway Blvd Ste 200, Garland, TX 75043-1677 | 2018-12-11 |
1336623446 | Gideon Ibe Ahanonu | Nurse Practitioner | 1919 S Shiloh Rd Ste 218, Garland, TX 75042-8903 | 2018-09-24 |
1407333792 | Sarah Dewit | Nurse Practitioner | 4555 W Walnut St, Garland, TX 75042-5143 | 2018-07-19 |
1750870879 | Brenda Okojie | Nurse Practitioner | 514 Basswood Trl, Garland, TX 75040-1183 | 2018-05-03 |
Find all providers in GARLAND |
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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.