MRS. BETHANY RENEE MOORE (NPI# 1144501958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144501958 |
| Entity Type | Individual |
| Full Name | MRS. BETHANY RENEE MOORE |
| Credential | RN |
| Practice Address |
5891 Route 21 Williamson NY 14589-9102 |
| Practice Telephone | 3155899625 |
| Mailing Telephone | 3155899625 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
424584 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134401003 | Bethany B Moore | Pharmacist | 3416 Lake Arrowhead Dr, Harvey, LA 70058-5533 | 2011-09-15 |
| 1336645738 | Bethany Moore | Behavior Technician | 3766 Us Highway 17 Ste 301, Richmond Hill, GA 31324-8876 | 2018-04-04 |
| 1215208038 | Bethany Moore | Occupational Therapist | 2628 N Fraser St, Georgetown, SC 29440-6946 | 2012-01-25 |
| Street Address |
5891 ROUTE 21 |
| City | WILLIAMSON |
| State | NY |
| Zip Code | 14589-9102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861625204 | Ingrid M. Wander | Social Worker | 5891 Route 21, Williamson, NY 14589-9102 | 2009-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932622024 | Heather Rose Pryor | Nurse Practitioner | 4225 Old Ridge Rd, #100, Williamson, NY 14589 | 2017-07-20 |
| 1417306796 | Shaughna Szymanski Winslow | Dentist | Po Box 3, Williamson, NY 14589 | 2016-06-08 |
| 1023182409 | Brian K Boisvert | Non-emergency Medical Transport (VAN) | 5106 Ridge Road, Williamson, NY 14589 | 2006-11-20 |
| 1396832325 | James F Stohr | Physician Assistant | 4418 E. Ridge Road, Williamson, NY 14589 | 2006-10-10 |
| 1194950733 | Irshad A Merkand | Family Medicine | 4425 Old Ridge Rd, Williamson, NY 14589 | 2009-05-27 |
| 1285717181 | Anita Prasad | Nurse Practitioner | 4418 E. Ridge Road, Williamson, NY 14589 | 2006-10-23 |
| 1841307360 | Williamson Medical Pllc | Allergy & Immunology | 4418 Ridge Rd E, Willamson Medical Pllc, Williamson, NY 14589 | 2006-08-23 |
| 1174699144 | Michael A Herbert | Dentist | 6127 Maple Ave, Williamson, NY 14589-0003 | 2006-11-28 |
| 1831214899 | Stephen M Nothnagle | Chiropractor | 3800 Railroad Ave., Williamson, NY 14589-0162 | 2007-03-20 |
| 1588090765 | Rena B Bulman | Licensed Practical Nurse | 4045 Circle Drive, Williamson, NY 14589-0298 | 2013-09-19 |
| Find all providers in zip 14589 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909184 | April Hall | Registered Nurse | 1 Ranger Dr, Williamson, WV 25661-9165 | 2018-04-13 |
| 1427462530 | Antoinette Harris | Registered Nurse | 2849 Shepherd Rd, Williamson, NY 14589-9519 | 2014-06-17 |
| 1952615148 | Katherine Denise Button | Registered Nurse | 4440 Ridge Rd, Williamson, NY 14589-9382 | 2010-07-30 |
| 1689988867 | Amy Caldwell Burdett | Registered Nurse | 6036 Highland Ave, Williamson, NY 14589-9731 | 2010-07-30 |
| 1720543382 | Crystal Dawn Canterbury | Registered Nurse | 1 Ranger Dr, Williamson, WV 25661-9165 | 2019-02-07 |
| 1699172809 | Tammie E. Bixby | Registered Nurse | 6036 Highland Ave, Williamson, NY 14589-9731 | 2014-12-03 |
| 1417384611 | Jessica Leigh Shaver | Registered Nurse | 4184 Miller St, Williamson, NY 14589-9713 | 2013-10-02 |
| 1780956821 | Vickie S Smeatin | Registered Nurse | 4440 Ridge Rd, Williamson, NY 14589-9382 | 2012-02-06 |
| 1104196658 | Jennifer Lee Miller | Registered Nurse | 4184 Miller St, Williamson, NY 14589-9713 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760343 | Dorothy Christine Whitman | Registered Nurse | Wayland -cohocton Central School, 2350 Route 63, Wayland, NY 14572 | 2020-11-06 |
| 1841899028 | Kara Chalk Hartnett | Registered Nurse | 36 Mcmahon Ave, Corning, NY 14830-3316 | 2020-10-20 |
| 1801495056 | Connie L Miller | Registered Nurse | 5825 Catalpa Ave, Ridgewood, NY 11385-5001 | 2020-10-20 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1689281198 | Jessica Fermin | Registered Nurse | 216 Avenue M Apt 1f, Brooklyn, NY 11230-4689 | 2020-09-29 |
| 1700493236 | Leslie Marie Lamirande | Registered Nurse | Van Buren Elementary School, 14 Ford Street, Baldwinsville, NY 13027 | 2020-09-29 |
| 1922615822 | Alyssa Jane Arlen | Registered Nurse | 4704 State Route 149, Hartford, NY 12838 | 2020-09-25 |
| 1790391845 | Anna Kichuk | Registered Nurse | 160 School Ln, Frankfort, NY 13340-4710 | 2020-09-23 |
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1578172219 | Sasha Sara Martell | Registered Nurse | 2119 27th St Apt D1, Astoria, NY 11105-3014 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSON |
| Zip Code | 14589 |
Please comment or provide details below to improve the information on MRS. BETHANY RENEE 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.