MRS. CONNIE JEAN MOORE (NPI# 1114907771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114907771 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE JEAN MOORE |
| Credential | CRNA |
| Practice Address |
9501 Farrell Rd Fort Belvoir VA 22060-5901 |
| Mailing Address |
12145 Greatbridge Rd Woodbridge VA 22192-5514 |
| Practice Telephone | 7038050004 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0024165968 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942563663 | Connie Jo Moore | Registered Nurse | 1717 W. Cowles Street, Fairbanks, AK 99701 | 2012-06-18 |
| 1558646307 | Connie D Moore | Counselor | 6100 Vine St, P-77, Lincoln, NE 68505-2861 | 2011-10-12 |
| 1730233255 | Connie Lynn Moore | Acupuncturist | 3959 Koko Dr, Honolulu, HI 96816-4306 | 2007-01-22 |
| 1104438688 | Connie Laverne Moore | Licensed Practical Nurse | 1100 New Jersey Ave Se Ste 845, Washington, DC 20003-3338 | 2020-08-17 |
| 1437571940 | Connie Moore | Registered Nurse | 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 87110-4204 | 2014-01-17 |
| 1063840163 | Connie W Moore | Physical Therapist | 533b Keyway Dr, Flowood, MS 39232-8809 | 2013-10-29 |
| 1972747491 | Connie Susan Moore | Speech-Language Pathologist | 1201 Hawthorn Rd, Salem, IL 62881-1028 | 2009-04-28 |
| 1497908982 | Connie Moore | Case Manager/Care Coordinator | 110 Skyline Dr, Russellville, AR 72801-3362 | 2008-10-28 |
| 1801955927 | Connie Moore | Counselor | 1423 W Garland Ave Ste C, Spokane, WA 99205-2616 | 2006-12-06 |
| Street Address |
9501 FARRELL RD |
| City | FORT BELVOIR |
| State | VA |
| Zip Code | 22060-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134127145 | Bonnie L. Breneman | Nurse Practitioner | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2005-07-13 |
| 1821428806 | Samantha Rigby | Dietitian, Registered | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2013-11-12 |
| 1184998536 | Fort Belvoir Community Hospital | Special Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-03-02 |
| 1093089757 | Ft Belvoir Hospital Outpatient Pharmacy | General Acute Care Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-28 |
| 1073886917 | Syed H Akhtar | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-22 |
| 1104199231 | Tiffany Limerick | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-21 |
| 1700159936 | Mary N Tabot | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-19 |
| 1033482534 | Sanh Dan Trieu | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-14 |
| 1710250212 | Thao Phuong Dinh | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-14 |
| 1598045460 | Fort Belvoir Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, Va, Fort Belvoir, VA 22060-5901 | 2011-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447780317 | Elizabeth Joy Bier | Family Medicine | Fort Belvoir Community Hospital 9300 Dewitt Loop, Fort Belvoir, VA 22060 | 2017-06-14 |
| 1518413723 | Meredith Rae Cuddy | Social Worker | 9300 Dewitt Loop, Rivers Pavillion, 2nd Floor, Room R2.403, Fort Belvoir, VA 22060 | 2016-08-28 |
| 1760804041 | Edward Burke | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Sunrise Pavilion, 3rd Flr, Rm 218, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2014-01-06 |
| 1972940450 | Deepa Ramanathan Elion | Clinical Neuropsychologist | 5908 9th Street, Building 1259, Intrepid Sprit One, Nicoe, Fort Belvoir, VA 22060 | 2013-05-24 |
| 1861837643 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8651 John J Kingman, Building 2321, Fort Belvoir, VA 22060 | 2013-05-07 |
| 1609150820 | Brittany Rodriguez | Physical Therapist | 9300 Belvoir Rd, Fort Belvoir, VA 22060 | 2011-10-06 |
| 1457657983 | Jacob Macgregor | Nurse Anesthetist, Certified Registered | 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2011-02-01 |
| 1518291442 | Stacie Erin Thomas | Speech-Language Pathologist | 5980 9th Street, Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-09-24 |
| 1033347125 | David Michael Hanrahan | Psychiatry & Neurology | 5980 9th Street Building #1259, Fort Belvoir Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-06-26 |
| 1649459777 | Central Care Inc | Military Hospital | 9501 Farrell Rd Bldg 805, Dewitt Health Care Center, Ft Belvoir, VA 22060 | 2007-10-25 |
| Find all providers in zip 22060 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760804041 | Edward Burke | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Sunrise Pavilion, 3rd Flr, Rm 218, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2014-01-06 |
| 1457657983 | Jacob Macgregor | Nurse Anesthetist, Certified Registered | 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2011-02-01 |
| 1477523835 | Cathy Elizabeth Peuterbaugh | Nurse Anesthetist, Certified Registered | Us Army Medical Dept, 9501 Farrell Rd, Fort Belvoir, VA 22060 | 2006-01-26 |
| 1619486362 | Todd Andrew Morris | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2017-09-26 |
| 1962871624 | Tammy King | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2015-09-23 |
| 1538431259 | Chris Noel Angeles | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2012-01-27 |
| 1912277872 | Ahmon White | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2012-01-10 |
| 1639475692 | Jules Myers | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2011-02-08 |
| 1174569263 | Vincent Bernard Bogan | Nurse Anesthetist, Certified Registered | 9501 Farrell Rd, Dewitt Army Community Hospital, Fort Belvoir, VA 22060-5901 | 2006-06-20 |
| 1730121187 | Donald Lee Van Dam | Nurse Anesthetist, Certified Registered | 9501 Farrell Rd, Dewitt Army Community Hospital, Fort Belvoir, VA 22060-5901 | 2006-06-11 |
| Find all providers in FORT BELVOIR | ||||
| City | FORT BELVOIR |
| Zip Code | 22060 |
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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.