JAMIE L MOORE (NPI# 1033621578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033621578 |
| Entity Type | Individual |
| Full Name | JAMIE L MOORE |
| Practice Address |
103 Commercial St Brockton MA 02302-3101 |
| Mailing Address |
176 Linwood St Brockton MA 02301-5626 |
| Practice Telephone | 6179355404 |
| Mailing Telephone | 6179355404 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | S659949987 | MA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059156 | Jamie Leigh Moore | Nurse Practitioner | 6345 County Road 19, Section, AL 35771-7860 | 2020-09-25 |
| 1730661588 | Jamie Marie Moore | Occupational Therapist | 9133 Ambergrove Dr, Howell, MI 48843-6108 | 2018-08-29 |
| 1992161871 | Jamie Moore | Physical Therapy Assistant | 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 | 2016-01-08 |
| 1093028185 | Jamie L Moore | Case Manager/Care Coordinator | 500 Creekside Dr Ste 507, Pottstown, PA 19464-9217 | 2010-07-19 |
| 1578746079 | Jamie Moore | Physician Assistant | 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 | 2007-12-07 |
| 1720271315 | Jamie Moore | Registered Nurse | 1001 Potrero Ave Gk 1, San Francisco General Hospital, San Francisco, CA 94110 | 2007-08-27 |
| 1770668014 | Jamie Roger Moore | Dentist | 465 Medical Center Pkwy, Clinton, AR 72031-7946 | 2006-10-26 |
| 1801419528 | Jamie Rachel Moore | Registered Nurse | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-05-28 |
| 1952962664 | Jamie L Moore | Registered Nurse | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-06-24 |
| 1255808655 | Jamie Leigh Moore | Nurse Practitioner | 14310 E 42nd St S Ste 600, Independence, MO 64055-7308 | 2018-10-24 |
| Street Address |
103 COMMERCIAL ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922332816 | Kathryn Doan | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2009-09-24 |
| 1841807252 | Allessandra Patrice Meandro | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2020-09-29 |
| 1669082657 | Shane Fitzgerald | Speech-Language Pathologist | 103 Commercial St, Brockton, MA 02302-3133 | 2020-08-04 |
| 1699397828 | Ashley Lauren Kelly | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2020-05-11 |
| 1568097657 | Sabrina Georges | Behavioral Analyst | 103 Commercial St, Brockton, MA 02302-3133 | 2020-03-09 |
| 1427680347 | Gabriella Daniel | Social Worker | 103 Commercial St, Brockton, MA 02302-3133 | 2020-02-08 |
| 1598305542 | Kayli Marie Hamblin | Behavior Technician | 103 Commercial St, Brockton, MA 02302-3133 | 2020-01-07 |
| 1245892769 | Kristen Sampson | Psychologist | 103 Commercial St, Brockton, MA 02302-3133 | 2019-07-04 |
| 1275193781 | Brittany Wright | Social Worker | 103 Commercial St, Brockton, MA 02302-3133 | 2019-06-17 |
| 1538725759 | Taylor Nicole Bridges | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2019-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053805762 | Latarsha Cottrell | Case Manager/Care Coordinator | 80 Pine Grove Dr, Brockton, MA 02301-1115 | 2018-06-16 |
| 1528591377 | Transforming Life's Challenges | Case Manager/Care Coordinator | 50 Lenox St, Brockton, MA 02301-3123 | 2017-04-08 |
| 1912322702 | Paul Edwards | Case Manager/Care Coordinator | 111 Hill St, Brockton, MA 02302-3256 | 2014-03-03 |
| 1316285323 | Alcidio Teodoro Correia | Case Manager/Care Coordinator | 15 Glenwood Sq, Brockton, MA 02301-3813 | 2013-01-25 |
| 1972859049 | Jennifer Colson | Case Manager/Care Coordinator | 56 Cherry St Fl 3, Brockton, MA 02301-2608 | 2012-07-26 |
| 1568724573 | Barbara A Owens | Case Manager/Care Coordinator | 222 Thatcher St, Brockton, MA 02302-3950 | 2012-06-14 |
| 1093080657 | Jessica Marie Dawn | Case Manager/Care Coordinator | 540 Crescent St, Brockton, MA 02302-3222 | 2012-03-15 |
| 1720372279 | Shanell Mowatt | Case Manager/Care Coordinator | 274 Ettrick St, Brockton, MA 02301 | 2011-06-01 |
| 1922332857 | Judith Marie Depasse | Case Manager/Care Coordinator | 127 Lisa Dr, Brockton, MA 02302-1125 | 2009-09-24 |
| 1033312384 | Lindsay Amanda Hovis | Case Manager/Care Coordinator | 56 Cherry St, Brockton, MA 02301-2608 | 2007-06-06 |
| Find all providers in BROCKTON | ||||
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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.