Kelly Moore (NPI# 1104303072, PAC ID# 4082966767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104303072 |
| PAC ID by PECOS | 4082966767 |
| Professional Enrollment ID | I20181008001377 |
| Full Name | Kelly Moore |
| Organization Legal Name | ALLIANCE MEDICAL GROUP LLC |
| Address |
1648 Nw 1st St Meridian ID 83642-2212 |
| Phone Number | 2088889393 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971544685 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1648 Nw 1st St, Meridian, ID 83642-2212 | 2088889393 | ALLIANCE MEDICAL GROUP LLC |
| Organization Legal Name | ALLIANCE MEDICAL GROUP LLC |
| Physicians | 116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thiago D Alberto | Nurse Practitioner | Alliance Medical Group LLC | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 |
| Ryan Anthony Baugher | Family Medicine | Alliance Medical Group LLC | 6052 W State St, Boise, ID 83703-2739 |
| Kelsey Martin | Nurse Practitioner | Alliance Medical Group LLC | 3280 E Lanark Dr, Meridian, ID 83642-5982 |
| Nicole Augusta Lafleur | Family Medicine | Alliance Medical Group LLC | 1375 N Happy Valley Rd, Nampa, ID 83687-5280 |
| Alishia Cairl | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Jedd D Moore | Nurse Practitioner | Alliance Medical Group LLC | 4971 W Overland Rd, Boise, ID 83705-2822 |
| Trent B Giles | Family Medicine | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Michael Vincen-brown | Physician Assistant | Alliance Medical Group LLC | 435 S Eagle Rd, Eagle, ID 83616-6067 |
| Steven Barnum | Nurse Practitioner | Alliance Medical Group LLC | 1115 12th Ave Rd, Nampa, ID 83686-5738 |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Street Address |
1648 NW 1ST ST |
| City | MERIDIAN |
| State | ID |
| Zip | 83642-2212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob Smith | Family Medicine | Alliance Medical Group LLC | 1648 Nw 1st St, Meridian, ID 83642-2212 |
| Mark Alexander Johnson | Family Medicine | Alliance Medical Group LLC | 1648 Nw 1st St, Meridian, ID 83642-2212 |
| Suzanne Jardine | Nurse Practitioner | Alliance Medical Group LLC | 1648 Nw 1st St, Meridian, ID 83642-2212 |
| Nathan J Ward | Family Practice | Alliance Medical Group LLC | 1648 Nw 1st St, Meridian, ID 83642-2212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Slonaker | Chiropractic | 3329 W Cherry Ln, Meridian, ID 83642-1119 | |
| Katy F Connley | Nurse Practitioner | Saint Alphonsus Regional Medical Center Inc | 3250 W Cherry Ln, Meridian, ID 83642-1120 |
| Diana Menchaca | Psychologist, Clinical | 1711 S Millenium Way, Suite 110, Meridian, ID 83642-1504 | |
| Virginia P Haviland | Psychologist, Clinical | 1711 S Millennium Way, Suite 110, Meridian, ID 83642-1504 | |
| Cheri Thomas | Nurse Practitioner | Alliance Medical Group LLC | 3115 E Florence, Meridian, ID 83642-1586 |
| Angela L Hansen | Clinical Social Worker | 403 W Cherry Ln, Finding The Silver Lining, Meridian, ID 83642-1610 | |
| Matthew L Jordan | Nurse Practitioner | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Dan J Hendrickson | Pulmonary Disease | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Huiling Qi | Internal Medicine | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Robert E Shumaker | Physician Assistant | Vibra Physicians LLC | 2131 S Bonito Way, Meridian, ID 83642-1659 |
| Find all physicians in zip 83642 | |||
| City | MERIDIAN |
| Zip Code | 83642 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MERIDIAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly 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.