MRS. WIETSKE WILLEMSMA MOORE (NPI# 1235291394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235291394 |
| Entity Type | Individual |
| Full Name | MRS. WIETSKE WILLEMSMA MOORE |
| Credential | CFNP |
| Practice Address |
3020 14th St Nw Washington DC 20009-6865 |
| Mailing Address |
12548 Mountain Rd Lovettsville VA 20180-2609 |
| Practice Telephone | 2027454300 |
| Practice Fax Number | 2027455907 |
| Mailing Telephone | 7035544527 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN966736 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3020 14TH ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20009-6865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154392926 | Christine Jeanette Lepoutre | Psychiatry & Neurology | 3020 14th St Nw, Upper Cardozo Health Center, Unity Health Care, Washington, DC 20009-6865 | 2006-01-30 |
| 1235756669 | Rosanna Maribel Sanchez John | Counselor | 3020 14th St Nw, Washington, DC 20009-6865 | 2020-07-01 |
| 1578028460 | Katherine Maestre Caro | Counselor | 3020 14th St Nw, Washington, DC 20009-6865 | 2019-02-05 |
| 1992297378 | Shakita Chavette Mcbrayer | Technician | 3020 14th St Nw, Washington, DC 20009-6865 | 2018-06-01 |
| 1205345113 | Maariya Bassa | Advanced Practice Midwife | 3020 14th St Nw, Washington, DC 20009-6865 | 2017-09-22 |
| 1306361225 | Kyle Wehrend | Social Worker | 3020 14th St Nw, Washington, DC 20009-6865 | 2017-08-11 |
| 1790219319 | Yodit Beru | Internal Medicine | 3020 14th St Nw, Washington, DC 20009-6865 | 2017-04-20 |
| 1760928733 | Unity Health Care Inc | Pharmacy | 3020 14th St Nw, Washington, DC 20009-6865 | 2017-01-13 |
| 1023460573 | Sidalia Reed | Dentist | 3020 14th St Nw, Washington, DC 20009-6865 | 2016-07-08 |
| 1679936033 | Hannah Ilene Sandler Herman | Family Medicine | 3020 14th St Nw, Washington, DC 20009-6865 | 2016-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724515 | Ana Serra | Social Worker | Mary's Center, 2333 Ontario Rd Nw, Washington, DC 20009 | 2020-06-10 |
| 1124596317 | Javan Anti Aging and Wellness Institute | Clinic/Center | 1626 U St Nw, Washington, DC 20009 | 2018-11-06 |
| 1477052272 | Shaw Family Dentistry Pllc | Dentist | 1515 U Street Nw, Suite A1 C1, Washington Dc, DC 20009 | 2018-02-07 |
| 1942728597 | Emily Schwaber | Speech-Language Pathologist | 5185 Macarthur Boulevard Suite 101, Washington, DC 20009 | 2017-09-05 |
| 1649792581 | Kalorama Pharmacy Inc. | Pharmacy | 1841 Columbia Rd Nw, Washington, DC 20009 | 2017-07-12 |
| 1700313707 | Salome Fomukong | Home Health Aide | 1752 Columbia Rd #2, Tierno Care Home Health Agency, Washington, DC 20009 | 2017-05-22 |
| 1912432436 | Mcclain Eyewear | Eyewear Supplier (Equipment, not the service) | 1514 U Street Nw, Washington, DC 20009 | 2017-04-21 |
| 1487195624 | Jasmine Thomas | Home Health Aide | 1440 W St Nw #b1, Washington, DC 20009 | 2017-03-20 |
| 1760923361 | Natasha Khawaja | Family Medicine | Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 | 2017-03-15 |
| 1134672520 | Margaret Ache Tata Tanwani | Home Health Aide | 1752 Columbia Rd, North West Washington Dc, North West Washington, DC 20009 | 2016-08-02 |
| Find all providers in zip 20009 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1184222754 | Aimee Elizabeth Westmore | Nurse Practitioner | 7701 26 Mile Rd, Washington, MI 48094-2804 | 2020-10-15 |
| 1649877416 | Rachel Maurine Caudle | Nurse Practitioner | 1504 Kern Rd, Washington, IL 61571-2318 | 2020-10-05 |
| 1922615236 | Erica Stickney | Nurse Practitioner | 532 E Beau St, Washington, PA 15301-3608 | 2020-09-30 |
| 1740896448 | Elizabeth Smith | Nurse Practitioner | 516 58th St Ne, Washington, DC 20019-6911 | 2020-09-17 |
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669086278 | Morgan Marie Weisz | Nurse Practitioner | 1809 Monroe St Ne, Washington, DC 20018-2735 | 2020-09-01 |
| 1952915746 | Alexandra Renee Leeper | Nurse Practitioner | 363 Maple Ave, Washington, PA 15301-1907 | 2020-08-31 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
| 1174136345 | Sarah King | Nurse Practitioner | 314 Carroll St Nw Apt 202, Washington, DC 20012-2026 | 2020-08-27 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20009 |
Please comment or provide details below to improve the information on MRS. WIETSKE WILLEMSMA 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.