DEDE MOORE (NPI# 1255510335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255510335 |
| Entity Type | Individual |
| Full Name | DEDE MOORE |
| Practice Address |
2547 Central Church Rd Midland GA 31820-4589 |
| Practice Telephone | 7064783927 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
126409 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2547 CENTRAL CHURCH RD |
| City | MIDLAND |
| State | GA |
| Zip Code | 31820-4589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760791115 | Myra Josefsberg | Counselor | 7297 East Wynfield Loop, Midland, GA 31820 | 2010-10-04 |
| 1447472014 | Kelli Marie Wright | Registered Nurse | 9067 Veterans Parkway, Midland, GA 31820 | 2007-05-03 |
| 1538580659 | Elvis Greene | Community Health Worker | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2013-12-16 |
| 1841343381 | New Horizons Csb Alchemy | Counselor | 9067 Veterans Pkwy, Midland, GA 31820-3411 | 2007-01-19 |
| 1700413861 | Joey Bedell | Community Health Worker | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2020-03-26 |
| 1902362361 | Cassandra Jane Holdcroft | Counselor | 9067 Veterans Pkwy, Midland, GA 31820-3411 | 2019-02-11 |
| 1316412778 | Orciola Jessie | Case Manager/Care Coordinator | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2018-10-11 |
| 1376055731 | Willie Jones | Community Health Worker | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2017-10-25 |
| 1952845257 | Kelcey Mccray | Community Health Worker | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2016-12-06 |
| 1861850950 | Margaret Mccall | Counselor | 9067 Veterans Pkwy, Midland, GA 31820-3411 | 2016-02-03 |
| Find all providers in zip 31820 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376941542 | Christina Wynns-delcambre | Nurse Practitioner | 5486 Cypress Ct, Midland, TX 79707-1508 | 2014-12-19 |
| 1649745019 | Amy Michelle Raetz-benner | Nurse Practitioner | 4000 Wellness Dr, Midland, MI 48670-2000 | 2018-10-11 |
| 1104229293 | Venus Marie Skeen | Nurse Practitioner | 2012 W Ohio Ave, Midland, TX 79701-5946 | 2014-10-02 |
| 1811264120 | Brittany Dawn Hidalgo | Nurse Practitioner | 2000 W Ohio Ave, Midland, TX 79701-5946 | 2011-11-30 |
| 1912202367 | Rhonda K Jagow | Nurse Practitioner | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2011-01-17 |
| 1629144027 | Joseph Aaron Cox | Nurse Practitioner | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2006-11-28 |
| 1407840507 | Rowena O Bullen | Nurse Practitioner | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032114 | Candace Buckley | Nurse Practitioner | 244 Ashland Dr, Woodstock, GA 30189-7161 | 2020-10-29 |
| 1679170740 | Jennifer Lassiter | Nurse Practitioner | 4116 Holley Rd., Lizella, GA 31052 | 2020-10-02 |
| 1891301164 | Tashoy Wallace | Nurse Practitioner | 121 Odyssey Turn, Conyers, GA 30012-3681 | 2020-09-21 |
| 1912513672 | Katherine Anne Sego | Nurse Practitioner | 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 | 2020-09-18 |
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1588276505 | Sherron Johnson | Nurse Practitioner | 1980 Wrights Way, Jonesboro, GA 30236-7205 | 2020-08-20 |
| 1942811682 | Ashlee Renee Mack | Nurse Practitioner | 116 Slate Cir, Savannah, GA 31419-9681 | 2020-08-16 |
| 1467063610 | Rosa Maria Phillips | Nurse Practitioner | 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205 | 2020-08-12 |
| 1508476581 | Jarvis Reese | Nurse Practitioner | 413 Tug Ct, Warner Robins, GA 31088-2134 | 2020-08-05 |
| 1750991790 | Akosua Frema Sarfo | Nurse Practitioner | 116 Ginkgo Ln, Grovetown, GA 30813-5392 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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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.