CANDACE ELIZABETH MOORE (NPI# 1164856100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164856100 |
| Entity Type | Individual |
| Full Name | CANDACE ELIZABETH MOORE |
| Other Name | CANDACE ELIZABETH COBERT |
| Practice Address |
1818 Se Division St Portland OR 97202-1159 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 9713026806 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982973137 | Candace Makeda Moore | Emergency Medicine | 4 Ave Laguna Apt 8h, Con. Launa Gardens; Apt. 8h, Carolina, PR 00979-6574 | 2011-12-16 |
| 1689865628 | Candace Renata Moore | Speech-Language Pathologist | 312 Viceroy Curv, Stockbridge, GA 30281-9140 | 2007-08-06 |
| 1295881621 | Candace R. Moore | Physical Therapist | 25298 Lee Hwy, Abingdon, VA 24211-7460 | 2007-01-26 |
| 1871149377 | Candace Moore | Behavior Technician | 401 E Memorial Rd Ste 700, Oklahoma City, OK 73114-2287 | 2019-08-12 |
| 1114458528 | Candace Moore | Speech-Language Pathologist | 6003 Masondale Rd, Alexandria, VA 22315-5596 | 2017-03-27 |
| 1942623327 | Candace Moore | Pharmacist | 7390 Tylersville Rd, West Chester, OH 45069-1522 | 2014-01-21 |
| 1568701571 | Candace Mcinnis Moore | Nurse Practitioner | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2013-02-11 |
| 1710246491 | Candace Michelle Moore | Registered Nurse | 1401 Sparta St, Mcminnville, TN 37110-1301 | 2012-05-15 |
| 1285962605 | Candace Moore | Nurse Practitioner | 13133 N Port Washington Rd, Suite G-18, Mequon, WI 53097-2419 | 2009-11-23 |
| 1093903239 | Candace B Moore | Nurse Practitioner | Us Dept of State, M/med/qi, Sa-1, Washington, DC 20522-0001 | 2007-10-12 |
| Street Address |
1818 SE DIVISION ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518029768 | Barbara Jean Baker | Psychiatry & Neurology | 1818 Se Division St, Portland, OR 97202-1159 | 2006-12-14 |
| 1235740374 | Kayla Brisby | Counselor | 1818 Se Division St, Portland, OR 97202-1159 | 2020-08-12 |
| 1861030561 | Alida A Holt | Counselor | 1818 Se Division St, Portland, OR 97202-1159 | 2019-12-13 |
| 1154988871 | Hannah Mary Vestal | Counselor | 1818 Se Division St, Portland, OR 97202 | 2019-05-29 |
| 1447748579 | Laurel Alyse Mossor | Case Manager/Care Coordinator | 1818 Se Division St, Portland, OR 97202-1159 | 2018-04-24 |
| 1407251861 | Icahn Saelao | Counselor | 1818 Se Division St, Portland, OR 97202-1159 | 2014-10-28 |
| 1801290267 | Carmen Lacey Calvert | Case Manager/Care Coordinator | 1818 Se Division St, Portland, OR 97202-1159 | 2014-10-14 |
| 1255760898 | Mary Wallace | Counselor | 1818 Se Division St, Portland, OR 97202-1159 | 2013-11-04 |
| 1245572320 | Peter Tran | Case Manager/Care Coordinator | 1818 Se Division St, Portland, OR 97202-1159 | 2013-03-26 |
| 1033459110 | Patrick Harry | Social Worker | 1818 Se Division St, Portland, OR 97202-1159 | 2013-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775558 | John Alan Varner | Case Manager/Care Coordinator | 5833 N Lombard St, Portland, OR 97203-4115 | 2020-06-24 |
| 1750906228 | Dwell Care LLC. | Case Manager/Care Coordinator | 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 | 2020-06-10 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102077 | Joslyn Bailey Gheen | Case Manager/Care Coordinator | 1032 Sw Main St, Portland, OR 97205-2407 | 2019-09-05 |
| 1497311773 | Ali Tareq Ashour | Case Manager/Care Coordinator | 980 Forest Ave Ste 106, Portland, ME 04103-3357 | 2019-05-13 |
| 1427540202 | Amber Tracy Ware | Case Manager/Care Coordinator | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2018-06-06 |
| 1710479209 | Katherine Anne Kerr | Case Manager/Care Coordinator | 4307 Ne 102nd Ave, Portland, OR 97220-3439 | 2018-05-31 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1083137459 | David Sague | Case Manager/Care Coordinator | 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 | 2017-07-18 |
| 1538601885 | Gabriela Simone Sargent | Case Manager/Care Coordinator | 4109 Se 113th Ave, Portland, OR 97266-2226 | 2016-11-16 |
| Find all providers in PORTLAND | ||||
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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.