DENNIS ROBERT MOORE (NPI# 1124660774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124660774 |
Entity Type | Individual |
Full Name | DENNIS ROBERT MOORE |
Credential | APRN-CNP |
Practice Address |
4610 Kanawha Ave Sw Ste 302 Charleston WV 25309-1367 |
Mailing Address |
4610 Kanawha Ave Sw Ste 302 South Charleston WV 25309-1367 |
Practice Telephone | 3047660009 |
Mailing Telephone | 3047660009 |
Enumeration Date | 2019-10-16 |
Last Update Date | 2020-06-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
103922 | WV | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255492468 | Dennis Ray Moore | Psychologist | 258 South State Street, R & L Office Center, Newtown, PA 18940 | 2006-12-12 |
1093825481 | Dennis James Moore | Chiropractor | 1512 S Capitol Ave, San Jose, CA 95127-4543 | 2006-08-30 |
1184816787 | Dennis Moore | Counselor | 134 Golden Gate Ave, San Francisco, CA 94102-3810 | 2007-08-16 |
1053452250 | Dennis Moore | Pediatrics | 650 N Nellis Blvd, Las Vegas, NV 89110-5382 | 2007-02-09 |
1295832483 | Dennis Michael Moore | Otolaryngology | 1875 Dempster, Suite 625, Park Ridge, IL 60068 | 2006-09-20 |
1306864624 | Dennis J Moore | Family Medicine | 1739 W Sunset Blvd, St George, UT 84770-7141 | 2006-07-17 |
1043272305 | Dennis F Moore Jr. | Internal Medicine | 818 N Emporia St, Suite 403, Wichita, KS 67214-3729 | 2006-04-03 |
Street Address |
4610 KANAWHA AVE SW STE 302 |
City | CHARLESTON |
State | WV |
Zip Code | 25309-1367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
Find all providers in zip 25309 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
1043822216 | Amber Bagwell | Nurse Practitioner | 442 King St Fl 2, Charleston, SC 29403-6230 | 2020-08-19 |
1790396273 | Amanda Jo Grant | Nurse Practitioner | 2207 Seneca Dr, Charleston, IL 61920-3836 | 2020-08-10 |
1811514961 | Isabel Margarita Lemasters | Nurse Practitioner | 3226 Moonlight Dr, Charleston, SC 29414-8052 | 2020-07-05 |
1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
1770123929 | Catherine A. Woods | Nurse Practitioner | 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 | 2020-01-15 |
1104464999 | Brittany D Griffith | Nurse Practitioner | 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 | 2019-12-12 |
1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
1194382655 | Megan Allen | Nurse Practitioner | 3501 Maccorkle Ave Se Unit 337, Charleston, WV 25304-1419 | 2019-05-21 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25309 |
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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.