Lynette M Moore (NPI# 1457369688, PAC ID# 0345339834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457369688 |
| PAC ID by PECOS | 0345339834 |
| Professional Enrollment ID | I20071207000152 |
| Full Name | Lynette M Moore |
| Organization Legal Name | SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER |
| Address |
8745 County Rd 9 Alamosa CO 81101-9610 |
| Phone Number | 7195893671 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345267779 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060008 | SAN LUIS VALLEY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 8745 County Rd 9, Alamosa, CO 81101-9610 | 7195893671 | SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER |
| Organization Legal Name | SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan L Laverdiere | Clinical Social Worker | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Mary L Tracey | Nurse Practitioner | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Michelle M Craver | Nurse Practitioner | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Hillary L.b. Nipple | Clinical Social Worker | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Mary Pemons Little | Clinical Social Worker | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| James J Grant | Psychologist, Clinical | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Donald D Tietsema Iii | Nurse Practitioner | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Susan Marie Graham | Clinical Social Worker | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Donna Nelson | Emergency Medicine | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Collin Michael Zander | Nurse Practitioner | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Street Address |
8745 COUNTY RD 9 |
| City | ALAMOSA |
| State | CO |
| Zip | 81101-9610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan L Laverdiere | Clinical Social Worker | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Mary L Tracey | Nurse Practitioner | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Michelle M Craver | Nurse Practitioner | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Hillary L.b. Nipple | Clinical Social Worker | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Mary Pemons Little | Clinical Social Worker | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| James J Grant | Psychologist, Clinical | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Donald D Tietsema Iii | Nurse Practitioner | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Susan Marie Graham | Clinical Social Worker | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Donna Nelson | Emergency Medicine | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Collin Michael Zander | Nurse Practitioner | San Luis Valley Community Mental Health Center | 8745 County Rd 9, Alamosa, CO 81101-9610 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Watson | Optometry | 3333 Clark St, Alamosa, CO 81101-2050 | |
| Sarah Lynn Lewing | Obstetrics/gynecology | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Sarah Marie Mcalpine | Family Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Thomas Scott Jenks | Certified Registered Nurse Anesthetist (crna) | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Mikaila Heldt Pence | Pediatric Medicine | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Mallori Gariner | Nurse Practitioner | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| David N Geiger | General Surgery | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Laura Burkhardt | Clinical Social Worker | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Jeffrey Oster | Podiatry | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Katherine Odonnell | Physician Assistant | Lutheran Hospital Association of The San Luis Valley | 2115 Stuart Ave, Alamosa, CO 81101-2269 |
| Find all physicians in zip 81101 | |||
| City | ALAMOSA |
| Zip Code | 81101 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALAMOSA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lynette M 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.