TRACY LEIGH MOORE (NPI# 1982143152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982143152 |
| Entity Type | Individual |
| Full Name | TRACY LEIGH MOORE |
| Credential | BACHELORS OF SCIENCE |
| Practice Address |
3001 Warrior Ln Poplar Bluff MO 63901-8685 |
| Mailing Address |
4191 County Road 450 Poplar Bluff MO 63901-7713 |
| Practice Telephone | 5736861200 |
| Practice Fax Number | 5736861029 |
| Mailing Telephone | 5737181901 |
| Mailing Fax Number | 5736861029 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| 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 |
|---|---|---|---|---|
| 1598130395 | Tracy Moore | Licensed Practical Nurse | 2 Laura Ln, Otisville, NY 10963-2316 | 2015-12-04 |
| 1154536134 | Tracy Lenore Moore | Licensed Practical Nurse | 1046 Lakegrove Ct, Westerville, OH 43081-1958 | 2007-05-11 |
| 1497388417 | Tracy Moore | Physical Medicine & Rehabilitation | 1335 Cypress St Ste 100, San Dimas, CA 91773-3538 | 2020-02-18 |
| 1538711510 | Tracy Moore | Behavior Technician | 9480 Three Rivers Rd, Gulfport, MS 39503-4248 | 2019-07-10 |
| 1144684358 | Tracy Moore | Technician | 419 N Broadway, Locust Grove, OK 74352-5020 | 2016-04-13 |
| 1588024483 | Tracy Moore | Dietitian, Registered | 3220 Providence Dr, Suite E3-030, Anchorage, AK 99508-4679 | 2016-03-04 |
| 1457743221 | Tracy Moore | Social Worker | 654 Ne 9th Pl, Homestead, FL 33030-4934 | 2015-03-03 |
| 1558614677 | Tracy J Moore | Counselor | 5500 Executive Center Dr, Charlotte, NC 28212-8856 | 2012-10-26 |
| 1861716649 | Tracy Moore | Physical Therapist | 40 N Main St, Bellingham, MA 02019-1590 | 2010-03-23 |
| 1417188558 | Tracy C. Moore | Registered Nurse | 830 S Limestone Street, Lexington, KY 40536-2477 | 2009-08-06 |
| Street Address |
3001 WARRIOR LN |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-8685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083638506 | Robin Denise Vickery | Counselor | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2006-07-27 |
| 1235738493 | Family Counseling Center, Inc. | Clinic/Center | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-10-20 |
| 1972117620 | Selina Ann Mcklintic | Registered Nurse | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-09-01 |
| 1477163764 | Paula Kay Dawes | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-08-03 |
| 1275141921 | Matthew Owens | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-07-20 |
| 1730797564 | Holly Rebecca Carter | Counselor | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-07-17 |
| 1174144547 | Angela Michelle Slaughter | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-27 |
| 1215558655 | Ashley Don Scheffler | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-27 |
| 1922628510 | Jennifer Lee Taylor | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-23 |
| 1639708233 | Zackary James Ladyman | Licensed Practical Nurse | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| 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 |
|---|---|---|---|---|
| 1588062038 | Nicole Annette Collins | Case Manager/Care Coordinator | 924 County Road 607, Family Counseling Center, Inc., Poplar Bluff, MO 63901-5093 | 2014-12-16 |
| 1801200498 | Ryan Davis | Case Manager/Care Coordinator | 2875 James Blvd, Poplar Bluff, MO 63901-3395 | 2014-06-11 |
| 1588951487 | Cynthia Cagle | Case Manager/Care Coordinator | 3001 Warrior Lane, Poplar Bluff, MO 63901 | 2011-06-30 |
| 1316553183 | Megan Nikole Jackson | Case Manager/Care Coordinator | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-09-17 |
| 1578174108 | Aaron Micahael Lucas | Case Manager/Care Coordinator | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-08-17 |
| 1477163764 | Paula Kay Dawes | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-08-03 |
| 1174144547 | Angela Michelle Slaughter | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-27 |
| 1215558655 | Ashley Don Scheffler | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-27 |
| 1114551512 | Ashley Renee Hamilton | Case Manager/Care Coordinator | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-02-25 |
| 1720619240 | Harley Oona Trammell | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-02-03 |
| Find all providers in POPLAR BLUFF | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on TRACY LEIGH MOORE.
| 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.