DR. SUSAN MOONS MOORE (NPI# 1063446169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063446169 |
| Entity Type | Individual |
| Full Name | DR. SUSAN MOONS MOORE |
| Credential | PHD |
| Practice Address |
7010 W Highway 71 Suite 340-143 Austin TX 78735-8300 |
| Mailing Address |
2200 Bergquist Suite 1 Lackland Afb TX 78236-5300 |
| Practice Telephone | 5123010920 |
| Mailing Telephone | 2102926707 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
31396 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730526971 | Susan Josephine Moore | Developmental Therapist | 302 Glenwood Dr, 201, Bloomingdale, IL 60108-3318 | 2013-05-29 |
| 1134400864 | Susan John Moore | Nurse Practitioner | 3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo, IN 46902-3710 | 2011-09-08 |
| 1265735435 | Susan Annette Moore | Registered Nurse | 589 Oak Hill Branch Rd, South Webster, OH 45682-9094 | 2010-12-09 |
| 1881903896 | Susan Renee Moore | Specialist | 9030 Monticello Rd, Wesson, MS 39191-9027 | 2010-09-26 |
| 1699097964 | Susan A. Moore | Speech-Language Pathologist | 114 Langdell Road, Hyde Park, VT 05655 | 2010-02-26 |
| 1336470715 | Susan Marie Moore | Social Worker | 3298 Silver Ridge Ct, Hermitage, PA 16148-6082 | 2010-01-25 |
| 1659511350 | Susan P Moore | Physical Therapist | 4747 N Ocean Dr, Ste 261, Lauderdale By The Sea, FL 33308-2947 | 2009-02-20 |
| 1760683817 | Susan Sharon Moore | Dietitian, Registered | 1200 S Arlington Ridge Rd, # 610, Arlington, VA 22202-1952 | 2007-05-29 |
| 1336158450 | Susan M Moore | Nurse Practitioner | 111 N 175th St, Omaha, NE 68118-3579 | 2006-08-07 |
| 1356361430 | Susan J. Moore | Internal Medicine | 112 Crofton Place, Uva Lake Monticello Internal Medicine, Palmyra, VA 22963 | 2006-07-20 |
| Street Address |
7010 W HIGHWAY 71 SUITE 340-143 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78735-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114382066 | Joseph Brewster | Pharmacist | 7010 W Highway 71, Austin, TX 78735-8300 | 2015-12-19 |
| 1124333992 | Rebecca Elaine Clark | Pharmacist | 7010 W Highway 71, Austin, TX 78735-8300 | 2010-08-17 |
| 1326257858 | Dental Center of South Austin, P.C. | Dentist | 7010 W Highway 71, Ste 225, Austin, TX 78735-8300 | 2007-05-22 |
| 1417066853 | H-e-b, Lp | Clinical Medical Laboratory | 7010 W Highway 71, Austin, TX 78735 | 2006-08-30 |
| 1396855086 | Annabelle Gonzales | Physical Therapist | 7010 W Highway 71, Ste 230, Austin, TX 78735-8300 | 2006-08-30 |
| 1598772303 | Jonathan William Simmons IIi | Chiropractor | 7010 W Highway 71, Suite 360, Austin, TX 78735-8300 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959748 | Si Shou Acupuncture and Wellness, Pllc | Acupuncturist | 5424 W Us Hwy 290 Service Rd, Ste #106, Austin, TX 78735 | 2020-07-10 |
| 1982221115 | Andrea Fackler | Counselor | 4425 S. Mopac Expressway, Building 3, Suite 503, Austin, TX 78735 | 2020-07-03 |
| 1134763162 | Amanda Enzbigilis | Physical Therapist | 5251 W Us Highway 290, Austin, TX 78735 | 2019-11-02 |
| 1427616408 | Soco Psychotherapy, Inc | Counselor | 4425 Mopac Expressway South, Bldg II, Suite 204, Austin, TX 78735 | 2019-06-04 |
| 1306306154 | Kelly Bolerjack | Doula | 4400 Twisted Tree Drive, Austin, TX 78735 | 2019-03-20 |
| 1407362619 | Sara Katherine Paules | Counselor | 4425 South Mopac Expy, Suite 502, Austin, TX 78735 | 2017-12-26 |
| 1851806418 | Circle Medical Care of Texas P. A. | Internal Medicine | 5424 W. Us Hwy 290, 101, Austin, TX 78735 | 2017-12-05 |
| 1699293266 | Derek Kalvin Vo | Dentist | 7612 W Highway 71 Ste B, Austin, TX 78735 | 2017-09-05 |
| 1588189013 | Rachel Caroline Boraten | Audiologist | 5625 Eiger Rd Ste 125, Austin, TX 78735 | 2017-08-05 |
| 1669908489 | Lesley Caldwell Ma Lpc Pllc | Counselor | 4425 South Mopac Expy., Building IIi, Suite 603, Austin, TX 78735 | 2017-05-11 |
| Find all providers in zip 78735 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241598 | Mellissa Tong | Psychologist | 113 W 33rd St, Austin, TX 78705-2313 | 2020-07-01 |
| 1235754201 | Amanda Max Hilberg | Psychologist | 5900 Balcones Dr Ste 190, Austin, TX 78731-4295 | 2020-06-15 |
| 1427682871 | Charnel Hollier | Psychologist | 1500 W 38th St Ste 31, Austin, TX 78731-6318 | 2020-02-25 |
| 1053950329 | Erin G Underbrink Newins | Psychologist | 2100 Pipers Field Dr Apt 36, Austin, TX 78758-2548 | 2020-01-03 |
| 1629553953 | Pulverman Psychological Services, Pllc | Psychologist | 3160 Bee Caves Rd Ste 300, Austin, TX 78746-5591 | 2018-10-02 |
| 1770079071 | Donna Carpenter | Psychologist | 3724 Jefferson St Ste 200, Austin, TX 78731-6221 | 2018-07-10 |
| 1942790068 | Julia Jeannette Zenteno-montez | Psychologist | 7901 Metropolis Dr # 11a-2, Austin, TX 78744-3111 | 2018-05-14 |
| 1558861583 | Dr. Jillian Racine | Psychologist | 8140 N Mopac Expy Ste 3-225, Austin, TX 78759-8862 | 2018-02-16 |
| 1063921708 | Mariel Smith Cannady | Psychologist | 4407 Pack Saddle Pass, Austin, TX 78745-1623 | 2017-09-26 |
| 1386161750 | Jessica A Peller | Psychologist | 9701 Brodie Ln Ste 205, Austin, TX 78748-6284 | 2017-08-27 |
| Find all providers in AUSTIN | ||||
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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.