KATHLEEN J. WALSH MOORE (NPI# 1184853939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184853939 |
| Entity Type | Individual |
| Full Name | KATHLEEN J. WALSH MOORE |
| Credential | LPC |
| Practice Address |
216 Bush River Drive Farmville VA 23901 |
| Mailing Address |
805 Douglas Church Road Farmville VA 23901 |
| Practice Telephone | 4343927049 |
| Practice Fax Number | 4343929221 |
| Mailing Telephone | 8042441125 |
| Mailing Fax Number | 4343929221 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |
| 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) |
0710101961 | VA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0701003192 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1528091063 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559248 | Kathleen M Moore | Psychologist | 918 Cattail Ct, Sandpoint, ID 83864-5094 | 2018-12-10 |
| 1649672544 | Kathleen Moore | Specialist | 830 Shore Rd, Apt 2i, Long Beach, NY 11561-5401 | 2014-09-23 |
| 1770826687 | Kathleen L. Moore | Psychologist | 417 S Irena Ave, Redondo Beach, CA 90277-3819 | 2013-03-28 |
| 1932448206 | Kathleen Louise Moore | Dietitian, Registered | 3267 Mineral Springs Trl, Mt Pleasant, MI 48858-9694 | 2013-02-06 |
| 1346572740 | Kathleen A Moore | Counselor | 1221 W Laketon Ave, Muskegon, MI 49441-2866 | 2010-02-10 |
| 1558692897 | Kathleen L Moore | Licensed Practical Nurse | 99 Wood Rd, Freeville, NY 13068-9780 | 2010-01-27 |
| 1326603655 | Kathleen Moore | Occupational Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2019-05-02 |
| 1477037257 | Kathleen D Moore | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2018-09-18 |
| 1679055370 | Kathleen Bailey Moore | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-08-30 |
| 1255810768 | Kathleen S Moore | Speech-Language Pathologist | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-07 |
| Street Address |
216 BUSH RIVER DRIVE |
| City | FARMVILLE |
| State | VA |
| Zip Code | 23901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932256419 | Jaime Lorraine Estes | Counselor | 216 Bush River Drive, Farmville, VA 23901 | 2007-01-05 |
| 1750790341 | Megan Demaline | Counselor | 216 Bush River Drive, Farmville, VA 23901 | 2014-08-07 |
| 1356761753 | Nellie Parrish | Social Worker | 216 Bush River Drive, Farmville, VA 23901 | 2014-04-24 |
| 1376843920 | Paula L Stone | Counselor | 216 Bush River Drive, Farmville, VA 23901 | 2010-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1184269870 | Louis Lee Huddleston | Counselor | 502 Beech Street, Farmville, VA 23901 | 2019-11-17 |
| 1447706668 | Alison Cameron | Specialist/Technologist | 3152 Allen Farm Road, Farmville, VA 23901 | 2016-08-28 |
| 1508236977 | Sarah Trimble | Social Worker | 833 Buffalo Street Suite 200, Suite 200 Po Drawer Q, Farmville, VA 23901 | 2015-09-29 |
| 1437532306 | Tara Ross-barksdale | Counselor | 129 Walnut Lane, Farmville, VA 23901 | 2015-07-09 |
| 1770997660 | Ronda L Walker | Speech-Language Pathologist | 315 West Third Street, Farmville, VA 23901 | 2014-06-18 |
| 1598191165 | Stephen Stone | Physician Assistant | 1706 East 3rd Street, Farmville, VA 23901 | 2013-09-16 |
| 1558637611 | Jeffrey Sargent | Physical Therapy Assistant | 800 0ak St, Farmville, VA 23901 | 2012-03-22 |
| 1497068217 | Family Preservation Services, Inc. | Community/Behavioral Health | 1825 East Third Street, Farmville, VA 23901 | 2010-07-21 |
| 1467781419 | Aime Spencer | Counselor | 232 Ridgeway Drive, Farmville, VA 23901 | 2009-12-21 |
| Find all providers in zip 23901 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497805576 | Jennifer M. Apperson | Psychologist | 200 Milnwood Rd # B, Farmville, VA 23901-2817 | 2007-01-11 |
| 1366512881 | Lynn Carson Blackwood Jr. | Psychologist | 200b Milnwood Rd, Farmville, VA 23901-2817 | 2006-11-09 |
| 1932650009 | Michele Dana Ebright | Psychologist | 214 Bush River Dr, Farmville, VA 23901-3179 | 2016-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593603 | Tina Tehrani Nawaz | Psychologist | 23909 Heather Meadow Dr, Ashburn, VA 20148-1767 | 2020-09-16 |
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1174135917 | Elizabeth Dehart Richardson | Psychologist | 3023 Arrowhead Rd, Rockingham, VA 22801-8682 | 2020-08-22 |
| 1558973131 | Saharay Elizabeth Martinez | Psychologist | 26 Zenith Loop, Newport News, VA 23601-1270 | 2020-08-17 |
| 1881204097 | Maria Elena Burke | Psychologist | 108 Colonels Way, Williamsburg, VA 23185-5105 | 2020-08-03 |
| 1699385013 | Celeste Macdonald Kelly | Psychologist | 250 Wylderose Cmns, Midlothian, VA 23113-6883 | 2020-08-01 |
| 1811515794 | Thomas Craig Foster Jr. | Psychologist | 115 Bulifants Blvd Ste A, Williamsburg, VA 23188-5720 | 2020-07-08 |
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
| 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.