MS. DONNA MARIE LODGE-MOORE (NPI# 1154609295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154609295 |
| Entity Type | Individual |
| Full Name | MS. DONNA MARIE LODGE-MOORE |
| Other Name | MRS. DONNA WASHINGTON |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
3000 Joe Dimaggio Blvd Ste 15 Round Rock TX 78665-3991 |
| Mailing Address |
15510 Ranch Road 620 N Apt 4201 Austin TX 78717-5218 |
| Practice Telephone | 5122711821 |
| Mailing Telephone | 5043522565 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2014-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
526019 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
21284 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP120751 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60359515 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06526 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2305999 | 05 |
| Street Address |
3000 JOE DIMAGGIO BLVD STE 15 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-3991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871027904 | Kerry Carroll | Nurse Practitioner | 3000 Joe Dimaggio Blvd Ste 15, Round Rock, TX 78665-3991 | 2017-04-14 |
| 1699144642 | Danielle Kathryn Malatek | Clinical Nurse Specialist | 3000 Joe Dimaggio Blvd Ste 15, Round Rock, TX 78665-3991 | 2015-09-21 |
| 1538543699 | Hong Vu | Nurse Practitioner | 3000 Joe Dimaggio Blvd Ste 15, Round Rock, TX 78665-3991 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181919 | Natalya Olegovna Fironova | Nurse Practitioner | 2912 Portulaca Dr, Round Rock, TX 78681-2450 | 2020-10-10 |
| 1336746825 | Catherine Munica | Nurse Practitioner | 3712 Cap Rock Trl, Round Rock, TX 78681-2372 | 2020-10-07 |
| 1841807203 | Noelia Yesenia Solis Ramirez | Nurse Practitioner | 3702 Birdhouse Dr, Round Rock, TX 78665-1136 | 2020-09-29 |
| 1962018101 | Amanda Broomhall | Nurse Practitioner | 1925 S Aw Grimes Blvd, Round Rock, TX 78664-7459 | 2020-09-22 |
| 1629684055 | Sarah Compton | Nurse Practitioner | 2100 Red Oak Cir, Round Rock, TX 78681-2216 | 2020-09-21 |
| 1265048730 | Mini Paiyappally Thomas | Nurse Practitioner | 2528 Mirasol Loop, Round Rock, TX 78681-2458 | 2020-09-21 |
| 1760098776 | Elma Peacock | Nurse Practitioner | 6058 Almelo Dr, Round Rock, TX 78681-5539 | 2020-09-16 |
| 1568076024 | Roger Fisher | Nurse Practitioner | 401 Teravista Pkwy Apt 918, Round Rock, TX 78665-1298 | 2020-09-02 |
| 1629688494 | Ashlee Lane Bates | Nurse Practitioner | 3705 Holden Ct, Round Rock, TX 78665-1233 | 2020-08-05 |
| 1407474935 | Roula Balani | Nurse Practitioner | 600 Round Rock West Dr Ste 20, Round Rock, TX 78681-5007 | 2020-07-10 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on MS. DONNA MARIE LODGE-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.