PHYLLIS MOORE (NPI# 1164657706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164657706 |
| Entity Type | Individual |
| Full Name | PHYLLIS MOORE |
| Practice Address |
2250 Hickory Rd Plymouth Meeting PA 19462-1047 |
| Mailing Address |
500 E Washington St Rochester PA 15074-1956 |
| Practice Telephone | 8008794471 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN033089L | PA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134330483 | Phyllis C. Moore | Speech-Language Pathologist | 5111 Laird Ln, Jupiter, FL 33458-4095 | 2007-05-25 |
| 1497130017 | Phyllis Eugenia Moore | Nurse Practitioner | 100 Mallard Creek Rd, Suite 406, Louisville, KY 40207-4194 | 2015-07-24 |
| 1023374279 | Phyllis P Moore | Nurse Practitioner | 600 Main St, Friendship, TN 38034-1999 | 2012-04-02 |
| 1235407248 | Phyllis Ann Moore | Nurse Practitioner | 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 | 2011-12-05 |
| 1467744979 | Phyllis S Moore | Clinical Nurse Specialist | 940 Belmont St, Mclean Hospital Southeast Location, Brockton, MA 02301-5596 | 2011-05-03 |
| 1528125747 | Phyllis Jane Moore | Nurse Practitioner | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2007-01-03 |
| 1528136744 | Phyllis R Moore | Social Worker | 218 N Washington St, Phyllis R Moore Lcswr, Rome, NY 13440 | 2006-12-04 |
| 1407940604 | Phyllis Diane Moore I | Physical Therapy Assistant | 2710 Trotwood Ave, Columbia, TN 38401-4903 | 2006-10-03 |
| Street Address |
2250 HICKORY RD |
| City | PLYMOUTH MEETING |
| State | PA |
| Zip Code | 19462-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588714570 | Shameka Teanea Brown | Registered Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-01-11 |
| 1215586946 | Heather M Hohl | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2019-09-05 |
| 1366009979 | Adrian T Nelson | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2019-05-20 |
| 1104391036 | Jasmin Todman | Registered Nurse | 2250 Hickory Rd, Ste 240, Plymouth Meeting, PA 19462-2225 | 2018-10-08 |
| 1174006308 | Katherine Lockley | Registered Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2018-09-13 |
| 1831605922 | Mitche Aridou | Registered Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2017-12-27 |
| 1962926162 | Derrick B Kirima | Physical Therapy Assistant | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2017-07-29 |
| 1093242133 | Helen Virgo Clarke | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2017-05-19 |
| 1457892416 | Thomas Nauman | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2017-03-10 |
| 1275073413 | Keyanah D West | Speech-Language Pathologist | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2017-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284192 | Nicole Marie Oconnor Probst | Registered Nurse | 824 Belvoir Road, Plymouth Meeting, PA 19462 | 2017-09-14 |
| 1699299404 | Access Services Inc | Community/Behavioral Health | 4070 Butler Pike Ste 900, Plymouth Meeting, PA 19462 | 2017-08-02 |
| 1255869079 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 615 W Germantown Pike Ste 100, Plymouth Meeting, PA 19462 | 2017-05-24 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1770039604 | David Crowe | Specialist/Technologist | 3045 Arrow Head Lane, Plymouth Meeting, PA 19462 | 2016-08-31 |
| 1881054724 | Urology Health Specialists | Non-Pharmacy Dispensing Site | 400 Davis Road, Suite 200a, Plymouth Meeting, PA 19462 | 2016-03-04 |
| 1578947289 | Amanda Coleen Hassey | Optometrist | 615 W Germantown Pike # 100, Plymouth Meeting, PA 19462 | 2015-07-13 |
| 1902204837 | Janelle Thelma Mcclure | Licensed Practical Nurse | 3113 Jolly Rd., Plymouth Meeting, PA 19462 | 2014-12-09 |
| 1417241860 | Nia Murray | Counselor | 523 Plymouth Rd., Suite215, Plymouthmeeting, PA 19462 | 2011-06-02 |
| 1831496868 | Pamela Faye Knappenberger | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 | 2011-02-28 |
| Find all providers in zip 19462 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902204837 | Janelle Thelma Mcclure | Licensed Practical Nurse | 3113 Jolly Rd., Plymouth Meeting, PA 19462 | 2014-12-09 |
| 1124386974 | Martine C Hyacinthe | Licensed Practical Nurse | 2250 Hickory Rd Ste 204, Plymouth Meeting, PA 19462-1047 | 2012-04-30 |
| 1679799720 | Tamara Samone Simmons | Licensed Practical Nurse | General Healthcare Resources, Inc., 2250 Hickory Road, Suite 240, Plymouth Meeting, PA 19462 | 2007-04-17 |
| 1215586946 | Heather M Hohl | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2019-09-05 |
| 1982257697 | Athena Kathleen Greene | Licensed Practical Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2019-07-22 |
| 1609435262 | Angel J Crump | Licensed Practical Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2019-06-07 |
| 1720645146 | John Robert Reader | Licensed Practical Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2019-05-21 |
| 1366009979 | Adrian T Nelson | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2019-05-20 |
| 1356815088 | Ericka Lashawn Daniels | Licensed Practical Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2019-01-16 |
| 1477045748 | Jeanna Box | Licensed Practical Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2018-06-03 |
| Find all providers in PLYMOUTH MEETING | ||||
| City | PLYMOUTH MEETING |
| Zip Code | 19462 |
Please comment or provide details below to improve the information on PHYLLIS 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.