JORDAN ALEXANDER MOORE (NPI# 1124522834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124522834 |
| Entity Type | Individual |
| Full Name | JORDAN ALEXANDER MOORE |
| Practice Address |
4032 Knollbrook Dr Nw Huntsville AL 35810-1832 |
| Mailing Address |
4032 Knollbrook Dr Nw Huntsvile AL 35810-1832 |
| Practice Telephone | 2566945688 |
| Mailing Telephone | 2566945688 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952337 | Jordan Dru Moore | Speech-Language Pathologist | 2709 Francisco St Unit B, Austin, TX 78702-3920 | 2020-08-12 |
| 1134767312 | Jordan David Moore | Specialist/Technologist | Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482 | 2019-12-18 |
| 1295387660 | Jordan William Moore | Chiropractor | 7921 Tanner Williams Rd Ste B, Mobile, AL 36608-8303 | 2019-07-15 |
| 1164980801 | Jordan Moore | Student in an Organized Health Care Education/Training Program | 800 Galloway Drive, Hammond, LA 70402-0001 | 2019-03-12 |
| 1255826111 | Jordan Moore | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1134673577 | Jordan Robert Moore | Pharmacist | 202 Becker St, Danville, PA 17821-1180 | 2016-08-14 |
| 1013992619 | Jordan A Moore | Dermatology | 121 E Silver Spring Dr, Whitefish Bay, WI 53217-4702 | 2005-12-07 |
| 1609425743 | Jordan Moore | Behavior Technician | 418b W Mountain St, Kernersville, NC 27284-2534 | 2019-09-11 |
| 1215583091 | Jordan Moore | Case Manager/Care Coordinator | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2019-08-16 |
| 1821651571 | Jordan Russell Moore | Nurse Practitioner | 206 S Mulberry St, Mount Vernon, OH 43050-3331 | 2019-04-18 |
| Street Address |
4032 KNOLLBROOK DR NW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35810-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821632928 | Janice Marie Scott | Technician | 3611 Grizzard Rd, Huntville, AL 35810 | 2019-10-31 |
| 1285094888 | Restore Therapy Services, Ltd | Occupational Therapist | 2061 Poole Drive, Huntsville, AL 35810 | 2016-02-25 |
| 1932442290 | Angela Lynell Miller | Specialist | 3228 Suite D Lodge Rd, Huntsville, AL 35810 | 2013-04-04 |
| 1376795104 | Amy Kathryn Scott | Occupational Therapist | 2061 Poole Drive Nw, Huntsville, AL 35810 | 2008-10-10 |
| 1306968565 | Mary Ann Mcdonald | Nurse Practitioner | 410 Sivley Rd Sw, Huntsville, AL 35810 | 2007-04-06 |
| 1801934815 | Great Expressions Dental Care | Dentist | 5045 North Memorial Parkway, Ste D, Hunstville, AL 35810 | 2007-02-02 |
| 1912004185 | Anthony Toney | Dentist | 2585 Sparkman Dr, Huntsville, AL 35810 | 2006-09-20 |
| 1710998349 | North Rimm Pharmacy LLC | Pharmacy | 5045 N Memorial Pkwy, Ste A, Huntsville, AL 35810 | 2006-08-10 |
| 1659855088 | Ashley Marie Patel | Occupational Therapist | 2061 Poole Drive, Huntsville, AL 35810 | 2018-09-21 |
| 1003309584 | Pamela L Cook | Occupational Therapist | 2061 Poole Drive, Huntsville, AL 35810 | 2018-06-11 |
| Find all providers in zip 35810 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907075 | Push Phlebotomy LLC | Technician, Pathology | 1650 7th St Ste 17, Huntsville, TX 77320-3853 | 2020-09-22 |
| 1982184099 | Shanece Burgess | Technician, Pathology | 7910 Memorial Pkwy Sw Ste B, Huntsville, AL 35802-2260 | 2018-08-17 |
| 1417266248 | Gloria Denise Turner | Technician, Pathology | 510 Chateau Dr Sw Apt I, Huntsville, AL 35801-3487 | 2010-09-28 |
| 1073168589 | In Vien Studios LLC | Technician, Pathology | 7910 Memorial Pkwy Sw Ste B, Huntsville, AL 35802-2260 | 2019-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068795 | Patricia Stoddard | Technician, Pathology | 1703 Springfield Loop E, Birmingham, AL 35242-5128 | 2020-03-16 |
| 1477105583 | Tishunna Carter | Technician, Pathology | 409 Howard Cir, Lincoln, AL 35096-3551 | 2019-07-10 |
| 1740708346 | Sharonda Jolly | Technician, Pathology | 19297 Looney Rd, Athens, AL 35613-5144 | 2017-09-02 |
| 1265881734 | Now Medical Billing and Senior Services | Technician, Pathology | 514 Hedstrom Dr, Dothan, AL 36301-4742 | 2016-06-06 |
| 1972154284 | Jes Mobile Health Services LLC | Technician, Pathology | 2629 East Blvd, Montgomery, AL 36117-1509 | 2019-09-27 |
| 1497104897 | Arkeya Mitchell | Technician, Pathology | 1903 Spring Hill Ave, Mobile, AL 36607-2303 | 2016-06-07 |
| 1376998740 | Shauna Berg | Technician, Pathology | 1903 Spring Hill Ave, Mobile, AL 36607-2303 | 2016-05-04 |
| City | HUNTSVILLE |
| Zip Code | 35810 |
Please comment or provide details below to improve the information on JORDAN ALEXANDER MOORE.
| 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.