MISS TRACI ANN MOORE (NPI# 1225392574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225392574 |
| Entity Type | Individual |
| Full Name | MISS TRACI ANN MOORE |
| Credential | LPN |
| Practice Address |
5278 Southwestern Blvd Unit 904 Hamburg NY 14075-8000 |
| Practice Telephone | 7166498375 |
| Mailing Telephone | 7166498375 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 10244744 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335024 | Traci Lynn Moore | Community Health Worker | 111 S Broad St, Lancaster, OH 43130-4398 | 2019-09-18 |
| 1225570005 | Traci Moore | Registered Nurse | 9201 E Mountain View Rd, Suite 220, Scottsdale, AZ 85258-5199 | 2016-11-10 |
| Street Address |
5278 SOUTHWESTERN BLVD UNIT 904 |
| City | HAMBURG |
| State | NY |
| Zip Code | 14075-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781281 | Devan Fischer | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Woods Road, Hamburg, NY 14075 | 2020-05-15 |
| 1417590746 | Jackson Mar | Counselor | 140 Pine St., Hamburg, NY 14075 | 2019-10-18 |
| 1831666122 | Andrea Lynn Baron | Physician Assistant | 5022 Morgan Parkway, Hamburg, NY 14075 | 2018-10-25 |
| 1164905584 | Michael Grundtisch | Physical Therapist | 5284 Briercliff Drive, Hamburg, NY 14075 | 2018-09-11 |
| 1629571187 | Dawn Rydzynski | Counselor | 140 Pin St, Hamburg, NY 14075 | 2018-03-12 |
| 1760990873 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 4901 Camp Rd. Suite 100, Buffalo Orthopaedic Group, LLP, Hamburg, NY 14075 | 2018-01-11 |
| 1821500562 | Theresa M Tripi | Counselor | 140 Pin Street, Hamburg, NY 14075 | 2017-11-03 |
| 1831548841 | Mary Coble | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Road, Hamburg, NY 14075 | 2016-06-09 |
| 1700287737 | Jessica Schreiner | Occupational Therapist | 6490-17 Taylor Rd, Hamburg, NY 14075 | 2014-09-09 |
| 1235576976 | Christina Lowman | Dietitian, Registered | 4535 Southwestern Blvd Suite 804a, Southtowns Medical and Professional Park, Hamburg, NY 14075 | 2013-06-03 |
| Find all providers in zip 14075 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053882100 | Precious Caliz | Licensed Practical Nurse | 3104 Lake Heights Dr, Hamburg, NY 14075-3521 | 2018-12-16 |
| 1669904207 | Eric Alyn Syms | Licensed Practical Nurse | 3947 Harvard St, Hamburg, NY 14075-2806 | 2017-04-02 |
| 1972976611 | Eleanor Murcko | Licensed Practical Nurse | 4721 Bay View Rd, Hamburg, NY 14075-1509 | 2015-11-03 |
| 1871973412 | Denise Fox | Licensed Practical Nurse | 43 Wanakah Hts, Hamburg, NY 14075-5730 | 2015-06-08 |
| 1821493099 | Hollie Michelle Potter | Licensed Practical Nurse | 5001 Chapman Pkwy, Hamburg, NY 14075-5512 | 2014-10-29 |
| 1205254604 | Suzanne Marie Randle | Licensed Practical Nurse | 4122 Sowles Rd Apt 112, Hamburg, NY 14075-7539 | 2014-04-02 |
| 1245505916 | Holly Nace | Licensed Practical Nurse | 4461 Clark St, Hamburg, NY 14075-3809 | 2012-03-14 |
| 1578848594 | Timothy Allen Hendrickson | Licensed Practical Nurse | 1305 Bluff St, Hamburg, IA 51640-1345 | 2011-10-21 |
| 1558670133 | Jaime Theron | Licensed Practical Nurse | 4352 Robin Ln, Hamburg, NY 14075-1219 | 2010-09-30 |
| 1386963585 | Sonya Rivera | Licensed Practical Nurse | 10 Pale Star Ct, Hamburg, NJ 07419-2423 | 2010-05-27 |
| Find all providers in HAMBURG | ||||
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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.