MRS. KATHLEEN D MOORE (NPI# 1205975844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205975844 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN D MOORE |
| Credential | CNP |
| Practice Address |
4864 Jackson St Monroe LA 71202-6400 |
| Practice Telephone | 3183307626 |
| Practice Fax Number | 3183307648 |
| Mailing Telephone | 3183307626 |
| Mailing Fax Number | 3183307648 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN042413-2796 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1541834 | 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 |
4864 JACKSON ST |
| City | MONROE |
| State | LA |
| Zip Code | 71202-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939210 | Brfhh Monroe LLC | General Acute Care Hospital | 4864 Jackson St, Hospital Administration, Monroe, LA 71202-6400 | 2005-08-10 |
| 1952900250 | Modnath Sangroula | Student in an Organized Health Care Education/Training Program | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-19 |
| 1265030258 | Aastha Garg | Student in an Organized Health Care Education/Training Program | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-13 |
| 1639776917 | Yagyesh Karki | Student in an Organized Health Care Education/Training Program | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-08 |
| 1265039366 | Jessica Hagan | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-02 |
| 1295332302 | Takinya Raneese Binion-minor | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-02 |
| 1346857604 | Jamie Lynn Putnam Guillot | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-09-30 |
| 1275149601 | Hemanth Kilaru | Student in an Organized Health Care Education/Training Program | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-09-21 |
| 1457966525 | Julia Lynn Bell | Nurse Anesthetist, Certified Registered | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-09-15 |
| 1821628165 | Lauren Holston Walker | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170726 | Ap&g Transportation LLC | Non-emergency Medical Transport (VAN) | 211 Malvern St., Monroe, LA 71202 | 2020-09-30 |
| 1902419625 | Marilyn F Goldman | Non-emergency Medical Transport (VAN) | 1001 Wilton Dr, Monroe, LA 71202 | 2020-08-24 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1285131326 | Jerrel Stills | Counselor | 296 Forest Oaks Rd, Monroe, LA 71202 | 2018-04-06 |
| 1164930269 | Jakira Gibson | Case Manager/Care Coordinator | 308 Vegas Dr, Monroe, LA 71202 | 2018-01-11 |
| 1457870321 | Whitney Nicole Allen | Counselor | 806 North 31st Street, Monroe, LA 71202 | 2017-09-12 |
| 1821535527 | Collins Wade | Counselor | 808 S. Second St., Monroe, LA 71202 | 2017-01-20 |
| 1821533639 | Geoi Smart | Social Worker | 1602 Oaklawn Dr, Monroe, LA 71202 | 2017-01-03 |
| 1699124214 | Melody Miller | Case Manager/Care Coordinator | 205 Stacy Dr Apt A, Monroe, LA 71202 | 2016-06-04 |
| 1548618192 | Samuel Anjera Spivey Jr. | Case Manager/Care Coordinator | 110 Blackwood Dr, Monroe, LA 71202 | 2016-05-24 |
| Find all providers in zip 71202 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1417562711 | Tarshia Timothy-jackson | Nurse Practitioner | 2703 Sterlington Rd Apt 76, Monroe, LA 71203-2547 | 2020-09-13 |
| 1891307385 | The Community Np LLC | Nurse Practitioner | 111 Kiowa St, Monroe, LA 71203-8565 | 2020-08-18 |
| 1083223457 | Zydeco Healthcare LLC | Nurse Practitioner | 301 Winkler Way, Monroe, LA 71203-6530 | 2020-07-30 |
| 1194343442 | Courtney Paige Miletello | Nurse Practitioner | 4015 Anna Kate Ln, Monroe, LA 71201-3810 | 2020-07-13 |
| 1942825831 | Kristyn Devun Squyres | Nurse Practitioner | 1401 N 18th St Ste A, Monroe, LA 71201-4972 | 2020-06-16 |
| 1629603337 | Emily Rebecca Buddemeyer | Nurse Practitioner | 814 N Macomb St Ste 1, Monroe, MI 48162-3085 | 2020-03-03 |
| 1760015572 | Jessica Marie Hartle | Nurse Practitioner | 730 N Macomb St Ste 228, Monroe, MI 48162-3087 | 2020-02-20 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on MRS. KATHLEEN D 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.