MRS. JESSICA MARIE MOORE (NPI# 1972877611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972877611 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA MARIE MOORE |
| Credential | LMP |
| Practice Address |
5744 N 12th St Joint Base Lewis Mcchord WA 98433-1174 |
| Practice Telephone | 2539738943 |
| Mailing Telephone | 2539738943 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60240933 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395416 | Jessica Moore | Nurse Practitioner | 232 N Watt Rd, Knoxville, TN 37934-1103 | 2020-08-06 |
| 1578185773 | Jessica Moore | Counselor | 1143 White Pine Ct, Cincinnati, OH 45255-4747 | 2020-05-11 |
| 1225669310 | Jessica Moore | Student in an Organized Health Care Education/Training Program | 1800 W 35th St, Austin, TX 78703-1323 | 2020-01-28 |
| 1083269559 | Jessica M Moore | Physician Assistant | Clements University Hospital 6201 Harry Hines Blvd, Dallas, TX 75390-6413 | 2019-08-01 |
| 1053873489 | Jessica Moore | Counselor | 550 Pinetown Rd Ste 150, Fort Washington, PA 19034-2612 | 2019-04-04 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1790167773 | Jessica Moore | Counselor | 3445 Dethman Ridge Road, Hood River, OR 97031 | 2015-06-25 |
| 1912324484 | Jessica Moore | Psychologist | 1286 S Linden Rd Ste B, Flint, MI 48532-3457 | 2014-03-24 |
| 1992148688 | Jessica Renee Moore | Psychiatry & Neurology | 6363 Forest Park Rd 7th Flste 749, Dallas, TX 75390-7708 | 2013-04-11 |
| Street Address |
5744 N 12TH ST |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98433-1174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
| 1790393213 | Matthew T Ellison | Dentist | Dental Clinic 2, 3740 South 14th St., Joint Base Lewis-mcchord, WA 98433 | 2020-07-21 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| 1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
| 1245891019 | Tanya Latrell Lesane | Counselor | 9924b W. Johnson St, Joint Base Lewis0mcchord, WA 98433 | 2019-06-24 |
| 1740844224 | Allison Tracy Bertoni | Student in an Organized Health Care Education/Training Program | 3740 South 14th Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-30 |
| 1124682448 | Lori Ann Sage | Registered Nurse | Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-23 |
| 1639645997 | Emily Elisabeth Armstrong | Emergency Medical Technician, Paramedic | 3370 Evergreen Ave, Jblm, WA 98433 | 2018-10-15 |
| 1982182101 | Won Kyung Yang | Dentist | 11582 C St., Jblm, WA 98433 | 2018-07-31 |
| 1205325966 | Gloria Judith Penate I | Dental Hygienist | 2103 North Division Street, Tacoma, WA 98433 | 2018-05-08 |
| Find all providers in zip 98433 | ||||
| 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 |
|---|---|---|---|---|
| 1154951762 | Porsha Daniele | Massage Therapist | 5020 Vanderpool Ct, Joint Base Lewis Mcchord, WA 98433-1157 | 2020-01-22 |
| 1790229417 | Haekyong Cecilia Visneski | Massage Therapist | 8307 Milwaukee St, Joint Base Lewis Mcchord, WA 98433-1322 | 2016-12-14 |
| 1467791475 | Bonnie L Lewis | Massage Therapist | 8624 Concord St, Joint Base Lewis Mcchord, WA 98433-1337 | 2013-02-11 |
| 1447509963 | Shanna Leann Thompson | Massage Therapist | 5993 Tower Pl, Joint Base Lewis Mcchord, WA 98433-1101 | 2012-08-29 |
| 1114215118 | Brianna Welch | Massage Therapist | 7193 Garcia Blvd Apt A, Joint Base Lewis Mcchord, WA 98433-1952 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
| 1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
| 1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98433 |
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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.