BETTINA TAMICE MOORE (NPI# 1265959563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265959563 |
| Entity Type | Individual |
| Full Name | BETTINA TAMICE MOORE |
| Other Name | BETTINA TAMICE EHRY |
| Practice Address |
901 W Main St Sheridan OR 97378-1003 |
| Practice Telephone | 6187318226 |
| Mailing Telephone | 6187318226 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | AW05559B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447412747 | Bettina Moore | Registered Nurse | 2007 Rock Spring Rd, Forest Hill, MD 21050-2620 | 2008-06-27 |
| Street Address |
901 W MAIN ST |
| City | SHERIDAN |
| State | OR |
| Zip Code | 97378-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757193 | Andrew Barnes Grasley | General Practice | 2702 Sw Ballston Road, Sheridan, OR 97378 | 2006-08-16 |
| 1902878333 | Kenneth A Kelley | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2006-02-01 |
| 1790951440 | Sheridan Family Chiropractic PC | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2008-05-02 |
| 1467837344 | Cody Charron | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2015-07-21 |
| 1801918255 | Kenneth G Mize Dmdpc | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2007-04-05 |
| 1255338638 | Kenneth G Mize | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2005-06-30 |
| 1689047680 | Thunderstruck Farms Inc. | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-11-12 |
| 1013390939 | Tina Hargrove | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-07-09 |
| 1598951634 | Julie Lynn Detamore | Acupuncturist | 552 Nw Evans St, Sheridan, OR 97378-1208 | 2007-09-21 |
| 1376076331 | Timothy Roaden | Peer Specialist | 356 Ne Faulconer Ct, Sheridan, OR 97378-1255 | 2017-04-06 |
| Find all providers in zip 97378 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803305 | Jamie Katherine Mcnair | Counselor | 3460 S. Sheridan Blvd., Sheridan, CO 80110 | 2020-02-20 |
| 1003151341 | Dennis Michael Durfee | Counselor | 7290 Ridgeway Rd, Sheridan, OR 97378-9531 | 2012-11-27 |
| 1982858122 | Barbara Lynn Schutte | Counselor | 23 North Scott Street, Suite 28, Sheridan, WY 82801 | 2008-11-14 |
| 1003005273 | Sheri Ann Elliott | Counselor | 909 Long Dr Ste C, Sheridan, WY 82801-3282 | 2007-10-23 |
| 1245444777 | Elena Savina | Counselor | 500 N Rock St, Sheridan, AR 72150-1808 | 2007-05-10 |
| 1740318013 | Cloud Peak Initiatives, Inc. | Counselor | 151 W Brundage St, Sheridan, WY 82801 | 2007-03-01 |
| 1689709743 | Khanh Tran | Counselor | 632 Coffeen Ave, Sheridan, WY 82801-5314 | 2007-02-22 |
| 1194350603 | Emily E Thompson | Counselor | 3460 S Federal Blvd, Sheridan, CO 80110-1967 | 2020-03-04 |
| 1659904589 | Christine Nicole Grassi | Counselor | 3460 S Federal Blvd, Sheridan, CO 80110-1967 | 2020-02-19 |
| 1053951418 | Lelalelei Nomura | Counselor | 1221 W 5th St, Sheridan, WY 82801-2701 | 2020-01-13 |
| Find all providers in SHERIDAN | ||||
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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.