SHAWANA MOORE (NPI# 1992070551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992070551 |
| Entity Type | Individual |
| Full Name | SHAWANA MOORE |
| Other Name | SHAWANA GRAY |
| Credential | DNP, APN-C |
| Practice Address |
1144 Locust St Philadelphia PA 19107 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 2153515500 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
26NJ00368700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
SP011936 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Haddon Ave, Camden, NJ 081033109 | 8567573700 |
| Street Address |
1144 LOCUST ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447301122 | Planned Parenthood Southeastern Pennsylvania | Clinic/Center | 1144 Locust St, Philadelphia, PA 19107-6734 | 2007-01-16 |
| 1114587391 | Rebecca Ingalls | Nurse Practitioner | 1144 Locust St, Philadelphia, PA 19107-6734 | 2019-06-19 |
| 1326556697 | Courtney Fern | Nurse Practitioner | 1144 Locust St, Philadelphia, PA 19107-6734 | 2018-01-19 |
| 1962954867 | Kara Pravdo | Nurse Practitioner | 1144 Locust St, Philadelphia, PA 19107-6734 | 2016-10-27 |
| 1124458898 | Stephanie Smiley | Nurse Practitioner | 1144 Locust St, Philadelphia, PA 19107-6734 | 2013-11-18 |
| 1316107485 | Sonja Anderson | Nurse Practitioner | 1144 Locust St, Philadelphia, PA 19107-6734 | 2008-06-12 |
| 1174792592 | Katherine Wooten-bielski | Nurse Practitioner | 1144 Locust St, Planned Parenthood Southeastern Pa, Philadelphia, PA 19107-6734 | 2008-02-29 |
| 1326221987 | Deborah Jean Lennon | Nurse Practitioner | 1144 Locust St, Philadelphia, PA 19107-6734 | 2007-12-06 |
| 1437283256 | Planned Parenthood Southeastern Pennsylvania | Non-Pharmacy Dispensing Site | 1144 Locust St, Philadelphia, PA 19107-6734 | 2007-03-15 |
| 1164555249 | Lee Tripp | Obstetrics & Gynecology | 1144 Locust St, Philadelphia, PA 19107-6734 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316588585 | Jaimie Sholinsky | Nurse Practitioner | 5401 Old York Rd Bldg Floor3, Philadelphia, PA 19141-3030 | 2019-09-30 |
| 1366900490 | Leigh Ferguson | Nurse Practitioner | 210 S 25th St Unit 1402, Philadelphia, PA 19103-5886 | 2019-03-07 |
| 1306356498 | Donna Michelle Depalmo-wilson | Nurse Practitioner | 700 Spruce St Fl 2, Philadelphia, PA 19106-4022 | 2017-10-03 |
| 1295124642 | Morgan Finch Bartlett | Nurse Practitioner | 800 Walnut St Fl 15, Philadelphia, PA 19107-5176 | 2015-01-22 |
| 1073941308 | Dacey Boinaiv Stratton | Nurse Practitioner | 1700 South St, Philadelphia, PA 19146-1529 | 2013-10-23 |
| 1851453633 | Charlene Brown | Nurse Practitioner | 1720 South Broad Street, City of Philadelphia Health Department, Philadelphia, PA 19145 | 2006-12-15 |
| 1689693160 | Iris S Wolfson | Nurse Practitioner | 133 W Phil Ellena St, Philadelphia, PA 19119-2717 | 2006-07-18 |
| 1568427409 | Donna L Brian | Nurse Practitioner | 1035 W Berks St, Philadelphia, PA 19122-1909 | 2006-04-20 |
| 1063408219 | Michelle Eileen Woltz | Nurse Practitioner | 229 Arch St, Philadelphia, PA 19106-1915 | 2005-09-23 |
| 1124635818 | Andrea Silver | Nurse Practitioner | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2020-09-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on SHAWANA 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.