SHEMINA MOORE (NPI# 1144674094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144674094 |
| Entity Type | Individual |
| Full Name | SHEMINA MOORE |
| Practice Address |
401 Robeson St Fayetteville NC 28301-5635 |
| Mailing Address |
6086 Charles Ave Fayetteville NC 28311-1286 |
| Practice Telephone | 9103210069 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3522-A | NC | Behavioral Health & Social Service Providers |
| Street Address |
401 ROBESON ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-5635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639302490 | Shaneka Holmes | Counselor | 401 Robeson St, Fayetteville, NC 28301-5635 | 2009-08-27 |
| 1336779032 | Morgan Gabriel Pierce | Counselor | 401 Robeson St, Fayetteville, NC 28301-5635 | 2020-01-22 |
| 1750925236 | Gloria D Johnson | Social Worker | 401 Robeson St, Fayetteville, NC 28301-5635 | 2019-10-29 |
| 1831745629 | Fredrick Simmons | Social Worker | 401 Robeson St, Fayetteville, NC 28301-5635 | 2019-08-16 |
| 1285132134 | Rodney L Johnson | Counselor | 401 Robeson St, Fayetteville, NC 28301-5635 | 2018-01-25 |
| 1295243418 | Jameila Torrey | Social Worker | 401 Robeson St, Fayetteville, NC 28301-5635 | 2018-01-22 |
| 1750897633 | Keisha Michelle Fletcher | Counselor | 401 Robeson St, Fayetteville, NC 28301-5635 | 2017-12-14 |
| 1063934024 | Taylor Pinne | Social Worker | 401 Robeson St, Fayetteville, NC 28301-5635 | 2017-07-12 |
| 1942721485 | Gregory Neill Phillips | Counselor | 401 Robeson St, Fayetteville, NC 28301-5635 | 2017-07-06 |
| 1710350343 | Greater Image Healthcare, Inc. | Health Maintenance Organization | 401 Robeson St, Fayetteville, NC 28301-5635 | 2015-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1831704691 | Adriana Londono | Counselor | 418 Person St Ste 103, Fayetteville, NC 28301-5886 | 2020-09-09 |
| 1881203487 | Finfa, Inc. | Counselor | 2026 Corrinna St, Fayetteville, NC 28301-3622 | 2020-07-29 |
| 1326657875 | Jeanette Middle Jordan-huffam Office | Counselor | 3911 W Bent Grass Dr, Fayetteville, NC 28312-8791 | 2020-07-29 |
| 1942824354 | Daytoria Marie Rhone | Counselor | 7816 Klondyke Dr, Fayetteville, NC 28311-9249 | 2020-06-01 |
| 1508486853 | Vivian M Davis | Counselor | 1022 Brookhollow Dr Apt 9, Fayetteville, NC 28314-1108 | 2020-04-16 |
| 1982255956 | Courtney Washington | Counselor | 1777 Michelle Ct, Fayetteville, NC 28304-5558 | 2019-09-21 |
| 1982251104 | Inspiring Change | Counselor | 111 Lamon St Ste 113, Fayetteville, NC 28301-4917 | 2019-08-22 |
| 1245887868 | Erica Graham | Counselor | 105 Bradford Sq Ste A, Fayetteville, GA 30215-1974 | 2019-08-19 |
| 1316502040 | Bettina Rochelle Melvin | Counselor | 1425 Avoncroft Dr, Fayetteville, NC 28306-3567 | 2019-05-08 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on SHEMINA 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.