MRS. MELANIE DAWN MOORE (NPI# 1205187861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205187861 |
| Entity Type | Individual |
| Full Name | MRS. MELANIE DAWN MOORE |
| Credential | NP |
| Practice Address |
120 Executive Park Louisville KY 40207-4201 |
| Mailing Address |
223 Executive Park Louisville KY 40207-4202 |
| Practice Telephone | 5028557200 |
| Practice Fax Number | 5028557201 |
| Mailing Telephone | 5029070356 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
3007505 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100654320 | 05 | |
| IN | 300035632 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436383 | Melanie Moore | Behavior Technician | 691 Via Barracuda, San Clemente, CA 92673-3607 | 2019-09-16 |
| 1659714780 | Melanie Moore | Chiropractor | 31225 La Baya Dr Ste 202, Westlake Village, CA 91362-6315 | 2013-04-08 |
| 1518235514 | Melanie Kendal-ward Moore | Occupational Therapist | 3932 Howard Ave, Western Springs, IL 60558-1212 | 2011-12-05 |
| 1831289354 | Melanie Moore | Nurse Anesthetist, Certified Registered | 550 N Central Expy # 2287, Mckinney, TX 75070-3526 | 2006-10-13 |
| 1962401562 | Melanie L Moore | Audiologist | 4140 E Baseline Rd, Suite 211, Mesa, AZ 85206-4412 | 2005-07-18 |
| 1861024606 | Melanie Pickert Moore | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mt Pleasant, MI 48859-2033 | 2020-02-10 |
| 1215490065 | Melanie English Moore | Dietitian, Registered | 315 W Hickory St, Sylacauga, AL 35150-2913 | 2019-04-09 |
| 1215420799 | Melanie Moore | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2018-06-11 |
| 1871940676 | Melanie Moore | Pharmacist | 200 Greater Butler Mart, Butler, PA 16001-3283 | 2016-05-21 |
| 1871998773 | Melanie Moore | Counselor | 2626 Charles Dr, Chalmette, LA 70043-3779 | 2014-11-04 |
| Street Address |
120 EXECUTIVE PARK |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862202 | Lisa M Schmidt | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207 | 2005-06-27 |
| 1568012896 | Tracey Frederick | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207-4201 | 2019-09-18 |
| 1538672373 | Michele Mcclure | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207-4201 | 2017-11-15 |
| 1316398977 | Johnna C Shown | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207 | 2016-06-24 |
| 1467840439 | Mary Tonini | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207-4201 | 2014-12-29 |
| 1306280177 | Commonwealth Pain Associates, Pllc | Anesthesiology | 120 Executive Park, Louisville, KY 40207 | 2013-04-24 |
| 1366751455 | Nicholas Bryce Mullins | Nurse Practitioner | 120 Executive Park, Louisville, KY 40207-4201 | 2010-10-07 |
| 1780909952 | Jenna Leigh Dismore Wrinkles | Anesthesiology | 120 Executive Park, Louisville, KY 40207-4201 | 2010-03-31 |
| 1679615686 | Stephen Kyle Young | Anesthesiology | 120 Executive Park, Louisville, KY 40207 | 2007-02-13 |
| 1063583268 | James W Jackson Jr. | Anesthesiology | 120 Executive Park, Louisville, KY 40207 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914040 | The Ortho Np, LLC | Nurse Practitioner | 1904 Meadowgate Ln, Louisville, KY 40223-1122 | 2020-02-15 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1699282988 | Victoria Michelle Jones | Nurse Practitioner | 7004 Austinwood Rd, Louisville, KY 40214-5930 | 2018-01-08 |
| 1295100345 | Ashley Elizabeth Summers | Nurse Practitioner | 701 Executive Park, Louisville, KY 40207 | 2015-12-01 |
| 1740608082 | Margaret Hamilton | Nurse Practitioner | 4938 Brownsboro Rd Ste 206, Louisville, KY 40222-6385 | 2014-04-03 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| 1356778237 | Rachel Keith-weiss | Nurse Practitioner | 580 S Preston St, Baxter II Rm 204d, Louisville, KY 40202-1756 | 2013-10-09 |
| 1598010852 | Hollis Veronica Edwards | Nurse Practitioner | 550 S Jackson St Fl 1, Louisville, KY 40202 | 2012-07-23 |
| 1578865267 | Sarah Kressy | Nurse Practitioner | 90 Health Park Dr Ste 320, Louisville, CO 80027-9742 | 2010-12-01 |
| 1780909259 | Deborah Diane Knight-williams | Nurse Practitioner | 405 Cambridge Station Rd, Wmlnc, Louisville, KY 40223-3362 | 2010-03-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on MRS. MELANIE DAWN 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.