HARLEY NICOLE MOORE (NPI# 1215567722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215567722 |
| Entity Type | Individual |
| Full Name | HARLEY NICOLE MOORE |
| Practice Address |
710 14th Ave Se Decatur AL 35601-3314 |
| Practice Telephone | 2563417162 |
| Mailing Telephone | 2563417162 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | S12707 | AL | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
710 14TH AVE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321582 | Shelly L. Baldwin | Student in an Organized Health Care Education/Training Program | 1 College Park, Decatur, IL 62521-8512 | 2020-06-19 |
| 1962025197 | Yvonne Hsia | Student in an Organized Health Care Education/Training Program | 2510 Twin Oaks Ct Apt 18, Decatur, IL 62526-5846 | 2020-05-21 |
| 1922641398 | Maria Victoria Casaine Rodriguez | Student in an Organized Health Care Education/Training Program | 3435 N Druid Hills Rd Apt M, Decatur, GA 30033-3758 | 2019-10-17 |
| 1487216164 | Manan Nilesh Vyas | Student in an Organized Health Care Education/Training Program | 2532 N Decatur Rd Apt 2218, Decatur, GA 30033-6185 | 2019-07-03 |
| 1285112037 | Zachary Steven Habermaas | Student in an Organized Health Care Education/Training Program | 1266 Brookfield Dr, Decatur, IL 62521-9084 | 2018-08-03 |
| 1760976203 | Thomas Wesley Hodo | Student in an Organized Health Care Education/Training Program | 2793 Autumn Lake Ln, Decatur, GA 30034-3559 | 2018-06-19 |
| 1194234815 | Hans Verkerke | Student in an Organized Health Care Education/Training Program | 2473 Mccurdy Way, Decatur, GA 30033-4820 | 2017-09-26 |
| 1073048104 | Jaylon Christopher Joyner | Student in an Organized Health Care Education/Training Program | 2245 Valley View Pl, Decatur, IL 62522-1367 | 2017-04-26 |
| 1679014831 | Luke Naylor | Student in an Organized Health Care Education/Training Program | 1602 Woodland St Se, Decatur, AL 35601-5242 | 2017-03-20 |
| 1902291503 | Emily Evans | Student in an Organized Health Care Education/Training Program | 1811 Lanier St Sw, Decatur, AL 35603-4542 | 2015-03-31 |
| Find all providers in DECATUR | ||||
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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.