NICHOLE LYNN MOORE (NPI# 1023671963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023671963 |
| Entity Type | Individual |
| Full Name | NICHOLE LYNN MOORE |
| Credential | LPN |
| Practice Address |
100 Elmwood Park Dr Dayton OH 45449-5402 |
| Mailing Address |
901 W Washington St New Carlisle OH 45344-1552 |
| Practice Telephone | 9372479015 |
| Mailing Telephone | 9377652229 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 126503.MEDS-IV | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790020568 | Nichole Moore | Rehabilitation Practitioner | 8724 Red Rio Dr, Las Vegas, NV 89128-8431 | 2012-12-05 |
| 1215337878 | Nichole Moore | Speech-Language Pathologist | 3687 Tampa Rd, Suite 200, Oldsmar, FL 34677-6307 | 2014-09-01 |
| 1427464569 | Nichole Moore | Rehabilitation Practitioner | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2014-07-09 |
| 1013269422 | Nichole Moore | Developmental Therapist | 3511 W Market St, Ste. B, Greensboro, NC 27403-4443 | 2012-10-09 |
| Street Address |
100 ELMWOOD PARK DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45449-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639151079 | Pradip M Mehta | Anesthesiology | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2005-11-18 |
| 1396346375 | Susan Melissa Fox | Registered Nurse | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2020-11-05 |
| 1497217707 | Charleen Adams | Licensed Practical Nurse | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2019-04-04 |
| 1023508983 | Rachel Eberly | Counselor | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2018-05-16 |
| 1902395916 | Brittany Renee Hurt | Registered Nurse | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2018-05-04 |
| 1265921530 | Sarah Selogic | Social Worker | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2018-05-02 |
| 1942717970 | Richard C Confer | Counselor | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2017-12-29 |
| 1932634235 | Carree Chapman | Registered Nurse | 100 Elmwood Park Dr, Ste 200, Dayton, OH 45449-5402 | 2017-04-24 |
| 1689114647 | Kelly Delgado | Counselor | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2017-02-24 |
| 1992115745 | Ciara Bobbitt | Counselor | 100 Elmwood Park Dr, Dayton, OH 45449-5402 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559697 | Charles D'imperio | Pharmacist | 2921 W Alexbell Rd, Moraine, OH 45449 | 2020-02-12 |
| 1588166037 | Jennifer Bennett | Counselor | 100 Elmwood Park Dr. Suite 201, Dayton, OH 45449 | 2018-03-01 |
| 1992978597 | Joni Diane Draut | Registered Nurse | 2619 Marigold Dr., Dayton, OH 45449 | 2008-04-04 |
| 1558582205 | Barbara E. Shanahan | Contractor | 510 Richie Drive, West Carrollton, OH 45449 | 2007-05-01 |
| 1124166475 | Nadine K Hubley | Chiropractor | 1615 S Alex Rd, Dayton, OH 45449 | 2007-02-01 |
| 1720171481 | Pharmacy Operations, Inc. | Pharmacy | 1919 S Alex Rd, W Carrollton, OH 45449 | 2006-10-02 |
| 1326039736 | Summit Ohio Leasing Co., LLC | Skilled Nursing Facility | 3800 Summit Glen Drive, Dayton, OH 45449 | 2005-11-03 |
| 1649881731 | Lindsey Catherine Tremblay | Pharmacist | 5901 Springboro Pike, Dayton, OH 45449 | 2020-08-12 |
| 1841615598 | Rosalyn Suprenant | Registered Nurse | 430 E Pease Ave, West Carrollton School District, West Carrollton, OH 45449 | 2014-03-04 |
| 1285928408 | Amanda J Robinett | Registered Nurse | 5932 Springboro Pike, Dayton, OH 45449 | 2011-06-06 |
| Find all providers in zip 45449 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911794 | Ashley Renee' Hall | Licensed Practical Nurse | 4360 Nevada Ave, Dayton, OH 45416-1436 | 2020-08-06 |
| 1659980910 | Danielle Elizabeth Wilson | Licensed Practical Nurse | 2511 E 3rd St, Dayton, OH 45403-2018 | 2020-07-23 |
| 1235755448 | Kameron Owens | Licensed Practical Nurse | 1102 Salem Ave Apt 2e, Dayton, OH 45406-5148 | 2020-06-23 |
| 1801423421 | Renee Robinson | Licensed Practical Nurse | 4424 Bluehaven Dr, Dayton, OH 45406-3333 | 2020-03-24 |
| 1598306458 | Asia Y Edwards | Licensed Practical Nurse | 1811 Coretta Ct, Dayton, OH 45417-4522 | 2019-10-02 |
| 1154972131 | Shawnta Renee Brown | Licensed Practical Nurse | 5125 Altrim Rd, Dayton, OH 45417-6017 | 2019-09-22 |
| 1447808050 | Desiree Nicole Baker | Licensed Practical Nurse | 1515 Canfield Ave, Dayton, OH 45406-4208 | 2019-08-27 |
| 1982260543 | Leetonia L Maye | Licensed Practical Nurse | 4220 Camargo Dr Apt F, Dayton, OH 45415-3315 | 2019-05-19 |
| 1720641046 | Sacha Jenell Mahaley | Licensed Practical Nurse | 40 S Williams St, Dayton, OH 45402-8235 | 2019-04-22 |
| 1134683915 | Marcus D Ewings | Licensed Practical Nurse | 4817 Kentfield Dr, Dayton, OH 45426-1823 | 2019-01-26 |
| Find all providers in DAYTON | ||||
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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.