SHERISA MOORE


Address: 17 River Chase Drive, B, Rensselaer, NY 12144
Phone: 5182910542

SHERISA MOORE (NPI# 1053955567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053955567
Entity Type Individual
Full Name SHERISA MOORE
Credential DOULA , IBCLC
Practice Address 17 River Chase Drive
B
Rensselaer
NY 12144
Practice Telephone 5182910542
Mailing Telephone 5182910542
Enumeration Date 2019-10-29
Last Update Date 2019-10-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
631514-1 NY Nursing Service Providers
N 374J00000X Doula NY Nursing Service Related Providers

Office Location

Street Address 17 RIVER CHASE DRIVE
B
City RENSSELAER
State NY
Zip Code 12144

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811553738 Joel C Campbell Licensed Practical Nurse 419 Northgreenbush Road, Rensselaer, NY 12144 2019-05-16
1063956688 Ashley F Bertorelli Physical Therapist 476 N Greenbush Rd Ste 3, Rensselaer, NY 12144 2016-12-16
1184066060 Stefanie L Walsh Physical Therapist 2 Empire Dr Ste 202, Rensselaer, NY 12144 2013-07-22
1821347550 C & L Transport Inc. Non-emergency Medical Transport (VAN) 27 Columbia Street, Rensselaer, NY 12144 2012-09-10
1639448376 Harry William Letko Licensed Practical Nurse 456b North Greenbush Rd, Rensselaer, NY 12144 2011-12-27
1285901827 Tammy Ellen Barbour Registered Nurse 25 Vanrensselaer Dr., Rensselaer Academy, Rensselaer, NY 12144 2011-11-28
1144474693 Peter Patrick Martin Occupational Therapist 24 Oak Street, Rensselaer, NY 12144 2008-11-11
1487820064 Kathleen Powell Pharmacist 501 Columbia Turnpike, Price Chopper, Rensselaer, NY 12144 2008-05-05
1609065788 Stefan J Fosco Audiologist 2 Empire Dr Ste 204, Rensselaer, NY 12144 2007-10-15
1497976435 Lisa Marie Brock Physical Therapist 2 Redwood Court, Rensselaer, NY 12144 2007-05-01
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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1194331538 Snow Verdean Harper-moulton Registered Nurse 428 County Route 37, Massena, NY 13662-3362 2020-09-21
1457966426 Aimee Sherene Woodhouse Registered Nurse 685 Bay Rd, Queensbury, NY 12804-1446 2020-09-15
1477165835 Kelly Macmillan Registered Nurse 4875 Emerson Rd, Canandaigua, NY 14424-8022 2020-08-18
1356953798 Living Hope Lactation Services Registered Nurse 910 North Goodman Street Ste 1, Rochester, NY 14609-1460 2020-08-18
1043836869 Sharon Ann Reilly Registered Nurse 910 North Goodman Street, Suite 1, Rochester, NY 14609 2020-06-17
1487274585 Renee Aviv Registered Nurse 2475 38th St Apt 2a, Astoria, NY 11103-4113 2020-04-20
1033739099 Meghan Louise Manangon Registered Nurse 196 Clinton Ave Apt D34, Brooklyn, NY 11205-3417 2020-04-20
1235765132 Yelizaveta Rukhlova Registered Nurse 100 Colfax Ave Apt 6l, Staten Island, NY 10306-3332 2020-03-23
1194359448 Sheri Fitzpatrick Registered Nurse 65 Moison Rd N, Blauvelt, NY 10913-1414 2020-02-26
1952932170 Jennifer A Whitt Registered Nurse 1714 Lovell Ter, Elmira, NY 14905-1235 2020-01-27
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Competitor

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City RENSSELAER
Zip Code 12144

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Dataset Information

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.

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