CLAUDIA LAFAYE MOORE (NPI# 1275719726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275719726 |
| Entity Type | Individual |
| Full Name | CLAUDIA LAFAYE MOORE |
| Credential | PA |
| Practice Address |
1668 W Peace St Canton MS 39046-5332 |
| Mailing Address |
Po Box 588 Canton MS 39046-0588 |
| Practice Telephone | 6018595213 |
| Practice Fax Number | 6018598771 |
| Mailing Telephone | 6018595213 |
| Mailing Fax Number | 6018598771 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TPA0015 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03030532 | 05 | |
| MS | STATE LICENSE | TPA0015 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447713508 | Claudia Moore | Physical Therapy Assistant | 702 Knollwood Dr, Greenville, SC 29607-5219 | 2019-04-07 |
| 1801383690 | Claudia Marlene Moore | Occupational Therapy Assistant | 991 Nw Leonardo Cir, Port St Lucie, FL 34986-4351 | 2018-04-17 |
| 1982856191 | Claudia Contess Moore | Speech-Language Pathologist | 435 4th St, Troy, NY 12180-5324 | 2008-10-21 |
| 1114979861 | Claudia Moore | Emergency Medicine | 987400 Nebraska Medical Ctr, Omaha, NE 68198-7400 | 2006-05-17 |
| Street Address |
1668 W PEACE ST |
| City | CANTON |
| State | MS |
| Zip Code | 39046-5332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972564656 | Wesley F Prater | Obstetrics & Gynecology | 1668 W Peace St, Canton, MS 39046-5332 | 2006-03-31 |
| 1295344224 | Keneisha Dean | Family Medicine | 1668 W Peace St, Canton, MS 39046-5332 | 2020-07-27 |
| 1205456910 | Falasha Reed | Licensed Practical Nurse | 1668 W Peace St, Canton, MS 39046-5332 | 2020-04-22 |
| 1669010732 | G A Carmichael Family Health Center | Pharmacy | 1668 W Peace St, Canton, MS 39046-5332 | 2019-12-19 |
| 1013569847 | G A Carmichael Family Health Center, Inc. | Clinic/Center | 1668 W Peace St, Canton, MS 39046-5332 | 2019-07-11 |
| 1972167278 | Jessica Carson | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2019-04-23 |
| 1992269088 | Tressa Ann Matthews | Family Medicine | 1668 W Peace St, Canton, MS 39046-5332 | 2019-01-23 |
| 1134606700 | Chris Fields | Clinical Exercise Physiologist | 1668 W Peace St, Canton, MS 39046-5332 | 2018-07-25 |
| 1639693823 | Logan Barlow | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2017-07-28 |
| 1659891257 | Yvette Rochelle Mclaurin | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2017-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048674 | Rebecca Lynn Yunk | Physician Assistant | 50433 Monroe St, Canton, MI 48188-6601 | 2020-06-20 |
| 1780210781 | Olivia Anastasia Basso | Physician Assistant | 4912 Higbee Ave Nw Ste 200, Canton, OH 44718-2599 | 2020-03-21 |
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1578113593 | Luiza Lica | Physician Assistant | 246 Princess Dr, Canton, MI 48188-1142 | 2019-09-12 |
| 1235614900 | Eva Louisa Paoloni | Physician Assistant | 1105 W Maple St Apt 3, Canton, OH 44720-2869 | 2018-09-28 |
| 1992281653 | Elizabeth Judy | Physician Assistant | 460 Northside Cherokee Blvd Ste 430, Canton, GA 30115-8020 | 2018-07-16 |
| 1083124051 | Stephanie Black | Physician Assistant | 1455 Harrison Ave Nw Ste 105, Canton, OH 44708-2609 | 2017-10-04 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1588111074 | Kinjal Shah | Physician Assistant | 43767 Ford Rd, Canton, MI 48187-3185 | 2016-09-01 |
| 1144683731 | Ellen Catherine Mitchell | Physician Assistant | 48575 Joy Rd, Canton, MI 48187-1214 | 2016-03-31 |
| Find all providers in CANTON | ||||
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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.