JEANETTE D MOORE (NPI# 1063599074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063599074 |
Entity Type | Individual |
Full Name | JEANETTE D MOORE |
Credential | NP |
Practice Address |
25495 Medical Center Dr Ste 300 Murrieta CA 92562-4904 |
Mailing Address |
3812 N 1st St Fresno CA 93726-4301 |
Practice Telephone | 9516770215 |
Practice Fax Number | 9516770991 |
Mailing Telephone | 5594953120 |
Mailing Fax Number | 5594414271 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2019-05-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NPF8880 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629527478 | Jeanette Moore | Contractor | 7408 Estes Park Ave Nw, Albuquerque, NM 87114-3944 | 2016-09-21 |
1962536417 | Jeanette L Moore | Social Worker | 105 Se 45th St, Oklahoma City, OK 73129-3201 | 2007-03-15 |
Street Address |
25495 MEDICAL CENTER DR STE 300 |
City | MURRIETA |
State | CA |
Zip Code | 92562-4904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548246135 | James D Neal | Specialist | 25495 Medical Center Dr Ste 300, Murrieta, CA 92562-4902 | 2005-12-16 |
1225488075 | Christine Todd | Obstetrics & Gynecology | 25495 Medical Center Dr Ste 300, Murrieta, CA 92562-4904 | 2016-06-13 |
1043530082 | Stephanie A Hernandez Francis | Physician Assistant | 25495 Medical Center Dr Ste 300, Murrieta, CA 92562-4904 | 2010-06-01 |
1336324037 | Florence Villa Quinata | Obstetrics & Gynecology | 25495 Medical Center Dr Ste 300, Murrieta, CA 92562-4904 | 2008-01-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
Find all providers in zip 92562 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326583998 | Peggy Ray | Nurse Practitioner | 25460 Medical Center Dr Ste 100, Murrieta, CA 92562-5985 | 2017-01-05 |
1104996503 | Nancy L Wulff-ferrell | Nurse Practitioner | 25460 Medical Center Dr, Suite 100, Murrieta, CA 92562-5985 | 2006-11-09 |
1467522862 | Linda Leon | Nurse Practitioner | 25460 Medical Center Dr, Suite 100, Murrieta, CA 92562-5985 | 2006-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
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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.