TINA MOORE (NPI# 1033531181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033531181 |
| Entity Type | Individual |
| Full Name | TINA MOORE |
| Credential | NP |
| Practice Address |
1860 N Church Rd Liberty MO 64068 |
| Mailing Address |
6398 Se Rhodus Ln Lawson MO 64062-7212 |
| Practice Telephone | 8164152828 |
| Mailing Telephone | 8169188201 |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014000703 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 2014000703 | 01 |
| MO | 1033531181 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 825 Euclid Ave, Kansas City, MO 641242323 | 8164744920 | 8168891847 |
| 1100 N 4th St, Leavenworth, KS 660481572 | 9132979945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173967 | Tina Marie Moore | Adult Companion | 347 Covington Dr Ste A, Waterloo, IL 62298-3287 | 2020-10-27 |
| 1770059420 | Tina R Moore | Social Worker | 3000 Cleveland Ave Ste 201, Santa Rosa, CA 95403-2117 | 2018-10-21 |
| 1285018614 | Tina Moore | Technician, Other | 41943 Hensall St, Clinton Twp, MI 48038-1971 | 2015-07-15 |
| 1528576071 | Tina Marie Moore | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481 | 2018-01-18 |
| 1083088553 | Tina Moore | Skilled Nursing Facility | 1500 Byron Rd, Howell, MI 48855-6772 | 2015-11-21 |
| 1760710966 | Tina Moore | Social Worker | 1681 Crown Ave, Suite 201, Lancaster, PA 17601-6303 | 2009-11-27 |
| 1467687855 | Tina Mckenzie Moore | Counselor | 2288 Second Street Pike Ste 6, Newtown, PA 18940-4108 | 2009-05-28 |
| 1851483523 | Tina L. Moore | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2006-09-29 |
| Street Address |
1860 N CHURCH RD |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962445486 | Jason Christopher Parker | Physical Therapist | 1860 N Church Rd, Suite 101, Liberty, MO 64068-7179 | 2006-06-13 |
| 1205260577 | Russell Wl Vanderlinden | Nurse Practitioner | 1860 N Church Rd, Liberty, MO 64068-7179 | 2013-08-22 |
| 1184062028 | Matthew Scott Sidesinger | Physical Therapist | 1860 N Church Rd, Suite 101, Liberty, MO 64068-7179 | 2013-06-13 |
| 1588956650 | The Urgency Room, LLC | Clinic/Center | 1860 N Church Rd, Liberty, MO 64068-7179 | 2011-05-09 |
| 1689786071 | Us Pt Therapy Services Inc. | Physical Therapist | 1860 N Church Rd, Suite 101, Liberty, MO 64068-7179 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653306 | Ashley Pence Wilson | Nurse Practitioner | 1105 Jackson Ct, Liberty, MO 64068-3372 | 2020-06-14 |
| 1417503186 | Susan Mwirigi Gunn | Nurse Practitioner | 1021 Bob White Ln, Liberty, MO 64068-7427 | 2019-08-17 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1730566175 | John Mason Douglas | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2015-05-06 |
| 1700221413 | Sukhdeep Johal | Nurse Practitioner | 1901 W Kansas St # Mo001, Liberty, MO 64068-2060 | 2013-05-08 |
| 1215272166 | Ruth Teague | Nurse Practitioner | 2718 N Main St, Liberty, TX 77575-3909 | 2012-12-04 |
| 1376805499 | Caroline E Baugess | Nurse Practitioner | 504 N Greensboro St, Liberty, NC 27298-2601 | 2012-06-14 |
| 1326308636 | Tracy Mathews Allen | Nurse Practitioner | 1343 County Road 2005, Liberty, TX 77575-8709 | 2012-05-21 |
| 1770721003 | Cheryl Jean Wells | Nurse Practitioner | 129 S Fayetteville St, Liberty, NC 27298-3200 | 2009-01-23 |
| 1730373309 | M Therese Sellers | Nurse Practitioner | 109 N Blue Jay Dr, Liberty, MO 64068-1906 | 2007-08-28 |
| Find all providers in LIBERTY | ||||
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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.