JOANN M MOORE (NPI# 1104134113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104134113 |
| Entity Type | Individual |
| Full Name | JOANN M MOORE |
| Credential | RN, MSN, ANP-C |
| Practice Address |
1681 Cranston St Ste D Cranston RI 02920-5000 |
| Practice Telephone | 4019468446 |
| Practice Fax Number | 4019468340 |
| Mailing Telephone | 4019468446 |
| Mailing Fax Number | 4019468340 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2018-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NPP37578 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831444868 | Joann Moore | Home Health Aide | 71 Conlon Rd, Roosevelt, NY 11575-1516 | 2012-07-16 |
| Street Address |
1681 CRANSTON ST STE D |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760582 | Casey Elizabeth Williams | Nurse Practitioner | 1681 Cranston St Ste D, Cranston, RI 02920-5000 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841269529 | Michele Denise Branagan | Nurse Practitioner | 30 Rolfe Square, Cranston, RI 02910 | 2006-03-16 |
| 1891336293 | Erica Kristen Ogni | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2019-10-07 |
| 1982252573 | Erin Gates Md,llc | Nurse Practitioner | 2100 Broad St, Cranston, RI 02905-3342 | 2019-08-28 |
| 1104384742 | Elizabeth Pereira | Nurse Practitioner | 2000 Chapel View Blvd, Cranston, RI 02920-3078 | 2019-03-02 |
| 1114406006 | Doreen Marie Braz | Nurse Practitioner | 333 Budlong Rd, Cranston, RI 02920-6337 | 2018-08-10 |
| 1497157572 | Gloria Mary Mazza | Nurse Practitioner | 111 Howard Ave, Box 8269, Cranston, RI 02920-3001 | 2014-09-21 |
| 1629370309 | Kathleen L. Knowlton | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910 | 2010-12-01 |
| 1871645341 | Deirdre Odelia Couture | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2007-01-17 |
| 1619981677 | Patricia M. Way | Nurse Practitioner | 1220 Pontiac Ave, Suite 101, Cranston, RI 02920-4456 | 2006-07-27 |
| 1457384547 | Toni M Panciera | Nurse Practitioner | 1150 Reservoir Ave, Suite 9438769103, Cranston, RI 02920-6068 | 2006-07-09 |
| Find all providers in CRANSTON | ||||
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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.