MR. MARTIN LOUIS MOORE (NPI# 1073501797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073501797 |
| Entity Type | Individual |
| Full Name | MR. MARTIN LOUIS MOORE |
| Credential | APN RN |
| Practice Address |
3961 S Mccarran Blvd Reno NV 89502-7510 |
| Practice Telephone | 7756833444 |
| Practice Fax Number | 7756833222 |
| Mailing Telephone | 7756833444 |
| Mailing Fax Number | 7756833222 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2018-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN000704 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | MEDICARE RAILROAD | 500026966 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4834 Sparks Blvd, Suite 100, Sparks, NV 894368215 | 7753568100 | 7753568101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225306483 | Martin Joseph Moore | Dentist | 6961 Burlington Pike, Florence, KY 41042 | 2011-12-02 |
| Street Address |
3961 S MCCARRAN BLVD |
| City | RENO |
| State | NV |
| Zip Code | 89502-7510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| 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 |
|---|---|---|---|---|
| 1609487776 | Gina Krauss | Nurse Practitioner | 1880 Empire Rd, Reno, NV 89521-7427 | 2020-08-12 |
| 1831717925 | Danielle Treadway | Nurse Practitioner | 6630 S Mccarran Blvd Ste A2, Reno, NV 89509-6136 | 2020-07-06 |
| 1487168753 | Rose Angelica Parizo | Nurse Practitioner | 255 W Moana Ln Ste 110, Reno, NV 89509-4942 | 2017-11-25 |
| 1427506500 | Krystal Peters | Nurse Practitioner | 6280 Elk Ivory Dr, Reno, NV 89511-4393 | 2016-09-16 |
| 1689904849 | Darian Blakely Thorp | Nurse Practitioner | 6548 South Mccarran Blvd, Suite A, Reno, NV 89509 | 2010-01-11 |
| 1003988007 | Carol J Daake | Nurse Practitioner | 645 N Arlington Ave Ste 460, Reno, NV 89503-4451 | 2006-11-14 |
| 1609958511 | Teril H Norman | Nurse Practitioner | 6880 S Mccarran Blvd Ste 5, Reno, NV 89509-6129 | 2006-10-19 |
| 1275629255 | Sally Edney-weare | Nurse Practitioner | 1055 S Wells Ave., Suite 120, Reno, NV 89502 | 2006-10-05 |
| 1932217072 | Kathleen Solomon | Nurse Practitioner | 4420 Great Falls Loop, Reno, NV 89511-6084 | 2006-08-28 |
| 1336152040 | Peggy Ann Williamson | Nurse Practitioner | 975 Ryland, Suite 105, Reno, NV 89502 | 2006-08-14 |
| Find all providers in RENO | ||||
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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.