MR. NATHAN MOORE (NPI# 1154846442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154846442 |
| Entity Type | Individual |
| Full Name | MR. NATHAN MOORE |
| Credential | APRN-C |
| Practice Address |
12899 Walsingham Rd Largo FL 33774-3537 |
| Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
| Practice Telephone | 7275969490 |
| Practice Fax Number | 8136357943 |
| Mailing Telephone | 7275321355 |
| Mailing Fax Number | 8136352613 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9367810 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 105038800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2128 34th St S, St Petersburg, FL 337113224 | 7277670940 | 7277670937 |
| 4740 Rowan Rd, New Port Richey, FL 346535601 | 7273728682 | 7273728971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760960561 | Nathan Allen Moore | Behavior Technician | 510 Buckingham Pl, Shorewood, IL 60404-0565 | 2018-08-02 |
| 1841439890 | Nathan Arnold Moore | Chiropractor | 4634 E. Marginal Way S., #c-120, Seattle, WA 98134 | 2009-02-16 |
| 1033228887 | Nathan Seth Moore | Dentist | 2313 Santa Clara J1, Santa Clara, UT 84765-5472 | 2006-08-29 |
| 1093829822 | Nathan L Moore | Family Medicine | 22 Clinic Drive, Paris, KY 40361 | 2006-08-18 |
| 1497750129 | Nathan M Moore | Family Medicine | 991 Route 19 N Ste B, Waterford, PA 16441-9739 | 2005-06-17 |
| 1447756556 | Nathan Jon Moore | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195 | 2018-04-05 |
| 1093154254 | Nathan Herling Moore | Internal Medicine | 3009 N Ballas Rd, Ste 387c, Saint Louis, MO 63131-2322 | 2013-06-21 |
| 1346575081 | Nathan Thomas Moore | Specialist | 18444 N 25th Ave, Ste 210, Phoenix, AZ 85023-1264 | 2009-10-14 |
| 1083650287 | Nathan W. Moore | Urology | 2009 5th St, Monroe, WI 53566-1546 | 2006-06-22 |
| Street Address |
12899 WALSINGHAM RD |
| City | LARGO |
| State | FL |
| Zip Code | 33774-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528010436 | David James Francis | Family Medicine | 12899 Walsingham Rd, Largo, FL 33774-3537 | 2006-05-17 |
| 1902247596 | Brandon Myles Steinberg | Family Medicine | 12899 Walsingham Rd, Largo, FL 33774-3537 | 2013-07-11 |
| 1013229590 | Katherine Matlock | Family Medicine | 12899 Walsingham Rd, Largo, FL 33774-3537 | 2010-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174986038 | Olga Emilia Martinez Bohan | Nurse Practitioner | 12685 Starkey Rd, Largo, FL 33773-1421 | 2016-03-29 |
| 1255962510 | Adetola O Oyekan | Nurse Practitioner | 1400 Mercantile Ln Ste 180, Largo, MD 20774-5369 | 2020-01-27 |
| 1093283145 | Patricia Hanratty | Nurse Practitioner | 1301 2nd Ave Sw, Largo, FL 33770-2298 | 2018-11-07 |
| 1245759596 | Largo Wellness Primary Care | Nurse Practitioner | 415 7th Ave Sw, Largo, FL 33770-3400 | 2017-09-18 |
| 1538578927 | Alexsandra De Oliveira | Nurse Practitioner | 7241 Bryan Dairy Rd, Largo, FL 33777-1538 | 2014-08-11 |
| 1407293350 | Peggy Ann St Croix | Nurse Practitioner | 1301 2nd Ave Sw, Largo, FL 33770 | 2013-06-03 |
| 1215964168 | Joanne Ruth Talarico | Nurse Practitioner | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.