MS. SUSAN MOORE


Address: 1200 N Beaver St, Flagstaff, AZ 86001-3118
Phone: 9287793366

MS. SUSAN MOORE (NPI# 1174770853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174770853
Entity Type Individual
Full Name MS. SUSAN MOORE
Credential RN
Practice Address 1200 N Beaver St
Flagstaff
AZ 86001-3118
Practice Telephone 9287793366
Mailing Telephone 9287793366
Enumeration Date 2008-08-25
Last Update Date 2009-11-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
RN089230 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Providers SUSAN MOORE

NPI Name Taxonomy Address Enumeration
1730526971 Susan Josephine Moore Developmental Therapist 302 Glenwood Dr, 201, Bloomingdale, IL 60108-3318 2013-05-29
1134400864 Susan John Moore Nurse Practitioner 3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo, IN 46902-3710 2011-09-08
1265735435 Susan Annette Moore Registered Nurse 589 Oak Hill Branch Rd, South Webster, OH 45682-9094 2010-12-09
1881903896 Susan Renee Moore Specialist 9030 Monticello Rd, Wesson, MS 39191-9027 2010-09-26
1699097964 Susan A. Moore Speech-Language Pathologist 114 Langdell Road, Hyde Park, VT 05655 2010-02-26
1336470715 Susan Marie Moore Social Worker 3298 Silver Ridge Ct, Hermitage, PA 16148-6082 2010-01-25
1659511350 Susan P Moore Physical Therapist 4747 N Ocean Dr, Ste 261, Lauderdale By The Sea, FL 33308-2947 2009-02-20
1760683817 Susan Sharon Moore Dietitian, Registered 1200 S Arlington Ridge Rd, # 610, Arlington, VA 22202-1952 2007-05-29
1336158450 Susan M Moore Nurse Practitioner 111 N 175th St, Omaha, NE 68118-3579 2006-08-07
1356361430 Susan J. Moore Internal Medicine 112 Crofton Place, Uva Lake Monticello Internal Medicine, Palmyra, VA 22963 2006-07-20

Office Location

Street Address 1200 N BEAVER ST
City FLAGSTAFF
State AZ
Zip Code 86001-3118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346241189 Alvin B Elisco Internal Medicine 1200 N Beaver St, Fmc Hospitalists, Flagstaff, AZ 86001-3118 2005-08-02
1285240515 Amika Noel Nurse Anesthetist, Certified Registered 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-09-22
1669084190 Margaret Grace Mcgough Registered Nurse 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-08-17
1942818398 Regan Rowson Registered Nurse 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-07-21
1871118984 Nancy Gloria Flores Audiologist 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-06-15
1679100705 Kristy Anderson Occupational Therapist 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-03-26
1164058087 Bryan J Ebeling Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2020-03-23
1447808407 Bryce Aldworth Randall Registered Nurse 1200 N Beaver St, Flagstaff, AZ 86001-3118 2019-09-03
1851952162 Samuel Small Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2019-06-26
1235797283 Rebecca R Boger Dietitian, Registered 1200 N Beaver St, Flagstaff, AZ 86001-3118 2019-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658756 Marlenne Adair Escobar-mendoza Specialist/Technologist 1705 South San Francisco Street, Flagstaff, AZ 86001 2020-10-27
1962033712 Laura-lee Prescott Social Worker Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 2020-01-30
1194360784 Trinity Medical Consultants Pllc Internal Medicine 1521 N Cliff Drive, Flagstaff, AZ 86001 2019-11-07
1154849610 Altacare, LLC Family Medicine 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 2017-09-05
1487174926 Lindsey Marie Forstie Nurse Practitioner 7263 E Dreamview Trail, Flagstaff, AZ 86001 2017-06-26
1255860763 Welbrook Senior Living Flagstaff LLC Skilled Nursing Facility 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 2017-06-08
1912432675 Ryan Tiscareno Specialist/Technologist 621 West Cherry Ave, Flagstaff, AZ 86001 2017-05-01
1629432380 Behavioral Consultation Services, Inc. Clinic/Center 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 2016-04-08
1275920928 Junli Gallagher Speech-Language Pathologist 1215 N. Beaver St, Flagstaff, AZ 86001 2015-04-21
1932592599 Kristen Flugstad Psyd, LLC Psychologist 125 East Elm Avenue #203, Flagstaff, AZ 86001 2015-03-06
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598912289 Susan Beaupre Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-08-25
1336396019 Karen Duran Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-08-25
1235386913 George Destefano Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-08-25
1104073881 Antoinette Stouvenel Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-08-25
1902053689 Karen Graves Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-08-25
1770768855 Neonatal Nurse Practitioners Nurse Practitioner 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-01-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992946065 Kelly Ann Woody Nurse Practitioner 300 W Clarendon Ave., # 375, Phoenix, AZ 85013-3420 2009-03-18
1588833537 Nancy C Broc Nurse Practitioner 300 West Clarendon Ave, Suite 375, Phoenix, AZ 85013-3498 2008-02-25
1013158195 Lisa M Dimenna Nurse Practitioner 1501 N Campbell Ave, 3341, Tucson, AZ 85724-5073 2009-03-18
1578703542 Megan Marie Shea Nurse Practitioner 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 2009-03-03
1649317868 Jamie Lee Friedel Nurse Practitioner 5301 E Grant Rd, Tucson, AZ 85712-2805 2007-01-30
1013085893 Kathryn Sue Murray Nurse Practitioner 310 N Wilmot Rd, Tucson, AZ 85711-2618 2006-12-01
1750458568 Lucy Marie Delgiorgio Nurse Practitioner 350 N Wilmot Rd, Tucson, AZ 85711-2602 2006-11-29
1477628329 Patricia Dell King Nurse Practitioner 350 N Wilmot Rd, Tucson, AZ 85711-2602 2006-11-22
1013082700 Karren Lefevre Nurse Practitioner 350 N Wilmot Rd, Tucson, AZ 85711-2602 2006-11-21
1912953944 Frances Strodtbeck Nurse Practitioner 4212 N 16th St, Phoenix, AZ 85016 2006-05-25
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Competitor

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City FLAGSTAFF
Zip Code 86001

Improve Information

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Dataset Information

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.

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