JENNIFER I MOORE (NPI# 1013115476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013115476 |
| Entity Type | Individual |
| Full Name | JENNIFER I MOORE |
| Credential | MD |
| Practice Address |
40 Cross St Suite 300 Norwalk CT 06851-4647 |
| Practice Telephone | 2032292000 |
| Practice Fax Number | 2038409001 |
| Mailing Telephone | 2032292000 |
| Mailing Fax Number | 2038409001 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 045613 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008008169 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1790332104 | Jennifer Dawn Moore | Technician | 3154 Jackson Bridge Rd, Carnesville, GA 30521-4126 | 2019-08-20 |
| 1427522192 | Jennifer G Moore | Speech-Language Pathologist | 2500 Cherry Ln, Northbrook, IL 60062-4414 | 2019-01-16 |
| 1548735632 | Jennifer Moore | Counselor | 11706 W Chenango Dr Apt 3, Morrison, CO 80465-2020 | 2018-10-04 |
| 1295218667 | Jennifer Elaine Moore | Registered Nurse | 185 Vz Cr 2103, Canton, TX 75103 | 2018-09-12 |
| 1942788104 | Jennifer Heine Moore | Licensed Vocational Nurse | 315 S Grand Saline St, Canton, TX 75103-1355 | 2018-07-31 |
| 1134639636 | Jennifer A Moore | Psychologist | 310 S Walnut Bend Rd Ste 2, Cordova, TN 38018-7282 | 2017-10-10 |
| 1346778214 | Jennifer Moore | Counselor | 348 Prior Ave N Ste 205, Saint Paul, MN 55104-5591 | 2017-05-23 |
| 1194263665 | Jennifer Moore | Occupational Therapist | 6540 Havens Corners Rd, Blacklick, OH 43004-8415 | 2017-02-06 |
| 1790237329 | Jennifer Moore | Student in an Organized Health Care Education/Training Program | 281 Winter St Ste 240, Waltham, MA 02451-8713 | 2016-10-31 |
| Street Address |
40 CROSS ST SUITE 300 |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095613 | Jaclyn Conelius | Nurse Practitioner | 40 Cross St, Norwalk, CT 06851-4647 | 2005-07-07 |
| 1285174847 | Gianna Rafetto | Physician Assistant | 40 Cross St, Norwalk, CT 06851-4647 | 2017-03-02 |
| 1124470299 | Melissa Kate Fraher | Registered Nurse | 40 Cross St, Suite 300b, Norwalk, CT 06851-4647 | 2016-07-12 |
| 1619367141 | Jessica Gonzalez | Physician Assistant | 40 Cross St, Norwalk, CT 06851-4647 | 2015-02-04 |
| 1942617980 | Kathleen Smith | Nurse Practitioner | 40 Cross St, Norwalk, CT 06851-4647 | 2014-07-22 |
| 1578981858 | Sean Butler | Pediatrics | 40 Cross St, Norwalk, CT 06851-4647 | 2014-04-02 |
| 1902240849 | Aniqa Anwar | Pediatrics | 40 Cross St, Norwalk, CT 06851-4647 | 2013-04-22 |
| 1194073049 | Christine K. Shanahan | Physician Assistant | 40 Cross St, Norwalk, CT 06851-4647 | 2012-08-27 |
| 1871841726 | Erin Denise Martin | Nurse Practitioner | 40 Cross St, Suite 300, Norwalk, CT 06851-4647 | 2012-08-27 |
| 1366726432 | Lynn M Nussbaum | Nurse Practitioner | 40 Cross St, Suite 300, Norwalk, CT 06851-4647 | 2011-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780810796 | Jennifer Maureen Varghese | Pediatrics | 12632 Bloomfield Ave, Apt#23, Norwalk, CA 90650-8313 | 2009-06-04 |
| 1063589349 | Minerva A Lobarbio | Pediatrics | 13710 Studebaker Road #100, Norwalk, CA 90650 | 2006-11-29 |
| 1669559951 | Patricia Jorquera | Pediatrics | 10 Mott Avenue, 4th Floor, Norwalk, CT 06850 | 2006-11-01 |
| 1548213929 | Sharlita M. Rodgers-simpkins | Pediatrics | 12360 Firestone Blvd, Norwalk, CA 90650-4324 | 2006-05-18 |
| 1700887932 | Glenn John Trippe | Pediatrics | 282 Benedict Ave, Suite B, Norwalk, OH 44857-2712 | 2005-08-10 |
| 1386642932 | Catherine T Ford | Pediatrics | 10 Mott Avenue 4th Floor, Norwalk, CT 06850 | 2005-07-08 |
| 1437696093 | Fisher-titus Pediatrics LLC | Pediatrics | 282 Benedict Ave, Suite B, Norwalk, OH 44857-2712 | 2017-01-20 |
| 1154784627 | Elizabeth Frances Marie Olds | Pediatrics | 282 Benedict Ave Ste B, Norwalk, OH 44857-2712 | 2016-04-01 |
| 1578981858 | Sean Butler | Pediatrics | 40 Cross St, Norwalk, CT 06851-4647 | 2014-04-02 |
| 1902240849 | Aniqa Anwar | Pediatrics | 40 Cross St, Norwalk, CT 06851-4647 | 2013-04-22 |
| Find all providers in NORWALK | ||||
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| 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.