ANNETTE RENE MOORE (NPI# 1033141155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033141155 |
Entity Type | Individual |
Full Name | ANNETTE RENE MOORE |
Credential | C.N.P. |
Practice Address |
1550 E County Line Rd Ste 300 Indianapolis IN 46227-1000 |
Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2805 |
Practice Telephone | 3174972300 |
Practice Fax Number | 3174972502 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-10-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
71000750A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100473980 | 05 | |
KY | 78007887 | 05 | |
KY | PASSPORT KY MEDICAID | 1161025 | 01 |
MEDICARE RAILROAD | 500012166 | 01 | |
IN | ANTHEM BCBS | 000000042207 | 01 |
AETNA | 5012042 | 01 | |
KY | PASSPORT ADVANTAGE | 2439492000 | 01 |
IN | SIHO | 709911P | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215239637 | Annette Nelalen Moore | Physical Therapy Assistant | 444 Ingle Ct, Salem, VA 24153-3936 | 2010-11-18 |
1922583418 | Annette M Moore | Developmental Therapist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2018-10-01 |
1801294061 | Annette Moore | Speech-Language Pathologist | 611 E Hill Rd, Southbury, CT 06488 | 2014-12-19 |
1619216165 | Annette Moore | Occupational Therapy Assistant | 10098 Bear Creek Rd, Lucasville, OH 45648-9168 | 2013-02-04 |
1609818467 | Annette M Moore | Internal Medicine | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2006-06-13 |
Street Address |
1550 E COUNTY LINE RD STE 300 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46227-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639174121 | Kurt R Martin | Orthopaedic Surgery | 1550 E County Line Rd, Ste 200, Indianapolis, IN 46227-0990 | 2005-06-20 |
1003217274 | Kathleen L Lampert | Nurse Practitioner | 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227-1000 | 2014-09-08 |
1376975854 | Carrie Graves | Nurse Practitioner | 1550 E County Line Rd, Ste 200, Indianapolis, IN 46227-1000 | 2013-08-06 |
1750632949 | Shannon Lea Bedja | Nurse Practitioner | 1550 E County Line Rd, Suite 325, Indianapolis, IN 46227-0967 | 2012-09-27 |
1508121492 | Sathish Kumar Krishnan | Internal Medicine | 1550 E County Line Rd, Indianapolis, IN 46227-1000 | 2012-07-07 |
1629239918 | Evan R. Armington | Orthopaedic Surgery | 1550 E County Line Rd, Suite 200, Indianapolis, IN 46227 | 2008-06-19 |
1336357938 | Helen Caldwell | Counselor | 1550 E County Line Rd, Ste 325, Indianapolis, IN 46227-1000 | 2007-05-18 |
1720043193 | Jason R Cacioppo | Surgery | 1550 E County Line Rd, Suite 320, Indianapolis, IN 46227-1000 | 2006-04-19 |
1083688600 | Greenwood Orthopedics PC | Orthopaedic Surgery | 1550 E County Line Rd, Suite 200, Indianapolis, IN 46227 | 2006-02-13 |
1144227471 | James Kenneth Cole | Orthopaedic Surgery | 1550 E County Line Rd, Suite 200, Indianapolis, IN 46227-1000 | 2005-07-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
Find all providers in zip 46227 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255595450 | Natalie N Strong | Nurse Practitioner | 2040 N Shadeland Ave Ste 300, Indianapolis, IN 46219-1712 | 2008-07-16 |
1962033324 | Jennifer Pillow | Nurse Practitioner | 2700 Dr Martin Luther King Jr St, Indianapolis, IN 46208-5019 | 2020-02-03 |
1801146295 | Li'toia C Kendrick | Nurse Practitioner | 7120 Clearvista Dr Ste 5100, Indianapolis, IN 46256-1868 | 2012-09-13 |
1528314507 | Christina Humphrey | Nurse Practitioner | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 | 2012-07-27 |
1629349998 | Danae Leah Young | Nurse Practitioner | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2012-01-19 |
1225310147 | Nancy Menning | Nurse Practitioner | 8111 S Emerson Ave, Suite 204, Indianapolis, IN 46237-8601 | 2011-09-16 |
1225326606 | Claudia Jeanne Brock | Nurse Practitioner | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2011-07-19 |
1316185861 | Jessica A Cole | Nurse Practitioner | 10122 E 10th St, Suite 230, Indianapolis, IN 46229-2664 | 2009-01-21 |
1205094000 | Kesha Rae Kelly | Nurse Practitioner | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2008-05-28 |
1447291257 | Meg Moorman | Nurse Practitioner | 1801 N Senate Blvd, Suite 210, Indianapolis, IN 46202-1228 | 2006-06-10 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46227 |
Please comment or provide details below to improve the information on ANNETTE RENE MOORE.
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.