MRS. KRISTINA MOORE (NPI# 1043615644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043615644 |
| Entity Type | Individual |
| Full Name | MRS. KRISTINA MOORE |
| Other Name | MS. KRISTINA WEST |
| Credential | PA-C |
| Practice Address |
100 Physicians Way Suite 110 Lebanon TN 37090-8102 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 6155476700 |
| Practice Fax Number | 6155476707 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558497875 | Kristina Lynn Moore | Psychologist | 44-723 Hoonani Pl, Kaneohe, HI 96744-2413 | 2007-02-23 |
| 1457997926 | Kristina Moore | Counselor | 2811 Maysville Pike, Zanesville, OH 43701-9772 | 2019-11-20 |
| 1700375912 | Kristina Michele Moore | Pharmacist | 41200 Murrieta Hot Springs Rd, Murrieta, CA 92562-9479 | 2018-05-02 |
| 1225419955 | Kristina Moore | Physical Therapist | 3135 Kirby Whitten Rd, Suite 105, Bartlett, TN 38134-2860 | 2015-06-18 |
| 1003188426 | Kristina Marie Moore | Social Worker | 1014 Main Street, Vancouver, WA 98661 | 2012-01-31 |
| 1992818173 | Kristina Danielle Moore | Dietitian, Registered | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-08-15 |
| Street Address |
100 PHYSICIANS WAY SUITE 110 |
| City | LEBANON |
| State | TN |
| Zip Code | 37090-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570345 | Rhoda S Powers | Nurse Practitioner | 100 Physicians Way, Lebanon, TN 37090 | 2005-07-07 |
| 1982059317 | Lydia Moore | Nurse Practitioner | 100 Physicians Way, Suite 300, Lebanon, TN 37090-8102 | 2016-05-04 |
| 1962809129 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 120, Lebanon, TN 37090-8102 | 2014-12-03 |
| 1386073674 | Stacey Atkins | Nurse Practitioner | 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 | 2013-11-06 |
| 1437584299 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2013-09-11 |
| 1538407127 | Casey Paige Lewis | Pharmacist | 100 Physicians Way, Lebanon, TN 37090-8102 | 2013-01-16 |
| 1134471725 | Uap Lebanon Endo, LLC | Nurse Anesthetist, Certified Registered | 100 Physicians Way, Ste 340, Lebanon, TN 37090-8102 | 2012-10-08 |
| 1467737999 | Janet Daily | Nurse Practitioner | 100 Physicians Way, Suite 330, Lebanon, TN 37090-8102 | 2011-10-16 |
| 1023327814 | Kristy M Blaney | Registered Nurse | 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 | 2010-09-28 |
| 1235458183 | Shawn Patrick Mountain | Orthopaedic Surgery | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2010-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376926840 | Kathryn Mccloud | Physical Therapist | 163 Business Park Drive, Lebanon, TN 37090 | 2015-07-02 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1760575831 | Ronald Scott Forczek | Respiratory Therapist, Certified | 8265 Trousdale Ferry Pike, Lebanon, TN 37090 | 2006-10-02 |
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1811109614 | Susan Anissa Hatcher | Occupational Therapy Assistant | 2215 Callis Rd, Lebanon, TN 37090 | 2007-05-04 |
| 1326030156 | Tennessee Orthopedics, P.C. | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-18 |
| 1154686673 | Stephanie Ruckman | Nurse Practitioner | 115 Moriah Dr, Lebanon, TN 37090-0731 | 2012-07-10 |
| 1801939798 | Prospect, Inc. | In Home Supportive Care | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2007-02-14 |
| 1093262743 | Prospect, Incorporated | Day Training, Developmentally Disabled Services | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2016-09-09 |
| Find all providers in zip 37090 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558399923 | John C. Gullage | Physician Assistant | 331 Hospital Dr Ste A, Lebanon, MO 65536-9251 | 2006-06-28 |
| 1346858263 | Chelsea A Jarosz | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-07-16 |
| 1548885411 | Marguerite Louise Danicek | Physician Assistant | 2705 N Lebanon St Ste 210, Lebanon, IN 46052-8622 | 2020-06-16 |
| 1407497324 | Mckenna Giberson | Physician Assistant | 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 | 2019-10-02 |
| 1306409818 | Kyle Lance Holsted | Physician Assistant | 1 Medical Center Drive, Department of Surgery, Lebanon, NH 03756-0001 | 2019-04-19 |
| 1124541156 | Claudia Yee Heng Lam | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2017-07-21 |
| 1922553312 | Tatyana Kalinchuk | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2016-08-16 |
| 1780138495 | Scott S Mirick | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2016-08-10 |
| 1386015337 | Kevin W Swann | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2015-10-16 |
| 1336517630 | Jonathan Dupuis | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2015-09-03 |
| Find all providers in LEBANON | ||||
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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.