NOLA F. MOORE (NPI# 1063529006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063529006 |
| Entity Type | Individual |
| Full Name | NOLA F. MOORE |
| Credential | FNP |
| Practice Address |
1706 Prospect Dr Macon MO 63552-2615 |
| Practice Telephone | 6603851006 |
| Practice Fax Number | 6603851028 |
| Mailing Telephone | 3149890300 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 132701 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MEDICARE | P00359523 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235537143 | Nola Roxanne Moore | Licensed Practical Nurse | 2867 West 37th Street, Brooklyn, NY 11224 | 2014-12-09 |
| Street Address |
1706 PROSPECT DR |
| City | MACON |
| State | MO |
| Zip Code | 63552-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902812407 | Midwest Bone & Joint Center PC | Durable Medical Equipment & Medical Supplies | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-01 |
| 1477913192 | Midwest Surgical Specialties PC | Clinic/Center | 1706 Prospect Dr, Macon, MO 63552-2615 | 2016-02-24 |
| 1376885632 | Kalen Scott Linneman | Specialist/Technologist | 1706 Prospect Dr, Macon, MO 63552-2615 | 2013-03-25 |
| 1548502800 | Brooksy Lee Halterman | Specialist/Technologist | 1706 Prospect Dr, Macon, MO 63552-2615 | 2013-03-25 |
| 1598881971 | Janet C Ancell | Occupational Therapist | 1706 Prospect Dr, Suite B, Macon, MO 63552-2615 | 2007-03-21 |
| 1184740581 | Cynthia Marie Seiler | Physical Therapist | 1706 Prospect Dr, Suite B, Macon, MO 63552-2615 | 2007-03-21 |
| 1861409625 | Donet Christopher Main | Orthopaedic Surgery | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-02 |
| 1114934205 | Center for Surgical Specialties, PC | Clinic/Center | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604158 | Tekeria Gallemore | Nurse Practitioner | 204 Rockingham Pl, Macon, GA 31217-2615 | 2020-09-22 |
| 1710534839 | Tuwanna Yvette Brooks | Nurse Practitioner | 2685 Cherokee Ave, Macon, GA 31204-3940 | 2019-08-22 |
| 1568019206 | Candace W Webb | Nurse Practitioner | 770 Pine St Ste 310, Macon, GA 31201-7587 | 2019-08-19 |
| 1013579846 | Rachel Michelle Applegate | Nurse Practitioner | 657 Hemlock St Ste 200, Macon, GA 31201-8324 | 2019-07-02 |
| 1447813993 | Amelia Angelica Harpe Mills | Nurse Practitioner | 3300 N Ingle Pl Apt 6e, Macon, GA 31210-2529 | 2019-04-19 |
| 1922563287 | Vanessa Lott | Nurse Practitioner | 107 William Way, Macon, GA 31216-6160 | 2019-01-31 |
| 1649771155 | Tory Kirsten Etheridge | Nurse Practitioner | 688 Walnut St Ste 200, Macon, GA 31201-0333 | 2018-02-21 |
| 1003324112 | Jared L Jarrett Np, LLC | Nurse Practitioner | 770 Pine St Ste 560, Macon, GA 31201-7569 | 2018-01-11 |
| 1699281360 | Charneika C Brown | Nurse Practitioner | 639 Hemlock St Ste 100, Macon, GA 31201-6889 | 2017-12-18 |
| 1821512393 | Bridgette Rebecca Harrison | Nurse Practitioner | 193 John Michael Drive, Macon, GA 31211 | 2017-07-27 |
| Find all providers in MACON | ||||
Please comment or provide details below to improve the information on NOLA F. MOORE.
| 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.