MS. PRECIOUS MOORE (NPI# 1104470269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104470269 |
| Entity Type | Individual |
| Full Name | MS. PRECIOUS MOORE |
| Practice Address |
312 Sw 83rd St Lawton OK 73505-4109 |
| Practice Telephone | 3463319377 |
| Mailing Telephone | 3463319377 |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2019-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376099119 | Precious Moore | Home Health Aide | 3206 Toledo Pl, Apt. 104, Hyattsville, MD 20782-4118 | 2016-08-31 |
| 1538791405 | Precious Moore | Behavior Technician | 290 S Alma School Rd Ste 1, Chandler, AZ 85224-7633 | 2020-02-10 |
| 1962852756 | Precious Moore | Nurse Practitioner | 1301 W 12th Ave, Suite 207, Emporia, KS 66801-2587 | 2016-06-13 |
| Street Address |
312 SW 83RD ST |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818065 | Shannon Bates | Case Manager/Care Coordinator | 3202 Se Footman Ln, Lawton, OK 73501-6340 | 2020-10-12 |
| 1154948966 | Irma Alicia Trevino | Case Manager/Care Coordinator | 4829 Nw Floyd Ave, Lawton, OK 73505-1628 | 2020-06-26 |
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1588298004 | Lacretia Renee Nabors | Case Manager/Care Coordinator | 3903 Sw Wolf St, Lawton, OK 73505-7531 | 2020-02-24 |
| 1285265082 | Ricardo Jose Cepero | Case Manager/Care Coordinator | 1116 Nw Lake Ave, Lawton, OK 73507-6568 | 2020-01-30 |
| 1528606944 | Cynthia Lynn Taylor | Case Manager/Care Coordinator | 7609 Nw Folkstone Way, Lawton, OK 73505-4132 | 2019-12-16 |
| 1528602505 | Robert Hausman | Case Manager/Care Coordinator | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2019-11-01 |
| 1689217929 | Bethany Brooke Watts | Case Manager/Care Coordinator | 2304 Nw 43rd St, Lawton, OK 73505-1712 | 2019-10-18 |
| 1326697905 | Kimberly Sherrie Clayton | Case Manager/Care Coordinator | 622 Sw Bishop Rd Apt M22, Lawton, OK 73501-8124 | 2019-09-06 |
| 1578122750 | Myeisha Finley | Case Manager/Care Coordinator | 2902 Nw 19th St, Lawton, OK 73507-1015 | 2019-06-11 |
| Find all providers in LAWTON | ||||
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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.