Kayela Faye Moore (NPI# 1104160217, PAC ID# 0143462465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104160217 |
| PAC ID by PECOS | 0143462465 |
| Professional Enrollment ID | I20130815000190 |
| Full Name | Kayela Faye Moore |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Address |
425 N Lee St Suite 203 Jacksonville FL 32204-1128 |
| Phone Number | 9043548200 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860411188 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 | 9043548200 | ST VINCENT'S AMBULATORY CARE INC |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Physicians | 317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadine Wlasiuk | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1658 St Vincent's Way, Suite 300, Middleburg, FL 32068-8431 |
| Felipe Velazquez | Family Medicine | St Vincent's Ambulatory Care Inc | 6488 103rd St, Suite B, Jacksonville, FL 32210-7161 |
| Carlos Mora | Neurology | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 724, Jacksonville, FL 32204-4786 |
| Ronnesia Austin Wright | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1503 Oak St, Jacksonville, FL 32204-3910 |
| Christa W Lehman | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 858 Monument Rd, Suite B, Jacksonville, FL 32225-6670 |
| Troy F Borema | Family Medicine | St Vincent's Ambulatory Care Inc | 12311 San Jose Blvd, Jacksonville, FL 32223-2673 |
| Tanielle Lamonika Brew | Family Medicine | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Suite B, Jacksonville, FL 32208-7209 |
| Austin J Chaput | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Samantha J Barry | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 11512 Lake Mead Ave, Suite 521, Jacksonville, FL 32256-5835 |
| Caroline R Price | Family Medicine | St Vincent's Ambulatory Care Inc | 6856 103rd St, Jacksonville, FL 32210-6877 |
| Street Address |
425 N LEE ST SUITE 203 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-1128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Amber Roberts | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda J Pinson | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Margaret Davis Hovda | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Catherine L Smith | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Patricia P Mcardle | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Tiffany Florence | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Christine Sacre | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jimmy Suvatne | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Daniel S Wyzan | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Indrani Mukherjee | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Shanna Korsah | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSONVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kayela Faye Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.