MICHELLE FLANAGAN MOORE (NPI# 1275153157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275153157 |
| Entity Type | Individual |
| Full Name | MICHELLE FLANAGAN MOORE |
| Practice Address |
133 Park St Ne Vienna VA 22180-4666 |
| Mailing Address |
515 N Littleton St Arlington VA 22203-1020 |
| Practice Telephone | 7032812657 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701009091 | VA | Behavioral Health & Social Service Providers |
| Street Address |
133 PARK ST NE |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164527859 | The Women's Center | Psychologist | 133 Park St Ne, Vienna, VA 22180-4602 | 2006-09-14 |
| 1053918680 | Laura Winkler | Counselor | 133 Park St Ne, Vienna, VA 22180-4666 | 2020-10-06 |
| 1841845708 | Shara Lynn Carter | Counselor | 133 Park St Ne, Vienna, VA 22180-4666 | 2019-08-07 |
| 1891340188 | Kimberly Rippy | Counselor | 133 Park St Ne, Vienna, VA 22180-4666 | 2019-08-05 |
| 1881176592 | Rachel Elizabeth Spence | Social Worker | 133 Park St Ne, Vienna, VA 22180-4666 | 2018-08-30 |
| 1730691056 | Carla Carick | Social Worker | 133 Park St Ne, Vienna, VA 22180-4666 | 2017-10-26 |
| 1659897882 | Lauren Nicole Mcdonough | Social Worker | 133 Park St Ne, Vienna, VA 22180-4666 | 2017-08-18 |
| 1568988228 | Dorothy Margaret Pennant | Counselor | 133 Park St Ne, Vienna, VA 22180-4666 | 2017-08-15 |
| 1033668603 | The Collaborative Good, LLC | Social Worker | 133 Park St Ne, #3b, Vienna, VA 22180-4666 | 2016-09-23 |
| 1225407935 | Rita Etter | Social Worker | 133 Park St Ne, Vienna, VA 22180-4602 | 2015-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180091 | Jill W. Bianco | Counselor | 131 Park St Ne Ste 8f, Vienna, VA 22180-4642 | 2019-12-01 |
| 1508402066 | Jee Young Suk | Counselor | 1952 Gallows Rd Ste 210, Vienna, VA 22182-3823 | 2019-11-20 |
| 1427608124 | Bridge To Wellness Centers, LLC | Counselor | 1934 Old Gallows Rd Ste 360, Vienna, VA 22182-4040 | 2019-09-13 |
| 1730670506 | Jewell Miriam Gibbs | Counselor | 501 Church St Ne Ste 208, Vienna, VA 22180-4734 | 2018-05-28 |
| 1932644671 | Bruce Manise | Counselor | 131 Park St Ne # 8, Vienna, VA 22180-4641 | 2017-01-05 |
| 1578992210 | Matthew George Neverusky | Counselor | 7970 Vigne Ct, Vienna, VA 22182-4052 | 2013-11-04 |
| 1437407343 | Reen Hayes Lyddane | Counselor | 2110 A Gallows Road, Vienna, VA 22182 | 2012-08-27 |
| 1568729226 | Linda Carol Padgett | Counselor | 1013 Mountfort Ct Sw, Vienna, VA 22180-6469 | 2012-04-19 |
| 1528269438 | Kelly Lutrell Stephenson | Counselor | 8227 Old Courthouse Rd Ste 215, Vienna, VA 22182-3815 | 2007-05-29 |
| 1477672764 | Robert Christopher Brown | Counselor | 8925 Leesburg Pike, Vienna, VA 22182-1742 | 2007-03-28 |
| Find all providers in VIENNA | ||||
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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.