MR. ZACHARY DAVID MOORE (NPI# 1316370992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316370992 |
| Entity Type | Individual |
| Full Name | MR. ZACHARY DAVID MOORE |
| Credential | FNP-BC |
| Practice Address |
1 Harbour Way Milton WV 25541-1545 |
| Mailing Address |
2585 3rd Ave Huntington WV 25703-1642 |
| Practice Telephone | 3047431407 |
| Practice Fax Number | 3047434516 |
| Mailing Telephone | 3046971396 |
| Mailing Fax Number | 3046972086 |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2015-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
72998 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | LICENSE | 72998 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649814021 | Zachary Andrew-vernon Moore | Licensed Practical Nurse | 7139 N Springboro Pike, West Carrollton, OH 45449-3605 | 2019-10-29 |
| 1316599269 | Zachary Moore | Physical Therapist | 804 S Pierce St Ste A, Alma, GA 31510-3506 | 2019-07-11 |
| 1568993731 | Zachary Moore | Social Worker | 141 W 10th Street, Indianapolis, IN 46202 | 2017-03-21 |
| 1619330719 | Zachary Davis Moore | Orthopaedic Surgery | 3421 Medical Park Dr # 2, Mobile, AL 36693-3330 | 2016-04-05 |
| 1164023305 | Zachary Moore | Audiologist | 650 Huebner Rd, Ft Riley, KS 66442-4030 | 2020-11-04 |
| 1528697968 | Zachary Moore | Student in an Organized Health Care Education/Training Program | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2020-04-07 |
| 1588292379 | Zachary Ryan Moore | Student in an Organized Health Care Education/Training Program | Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-03-29 |
| 1952950818 | Zachary Moore | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-09-04 |
| 1619444197 | Zachary Elliot Moore | Physical Therapy Assistant | 2230 Liliha St, Honolulu, HI 96817-1646 | 2018-11-01 |
| 1689178675 | Zachary Ray Moore | Student in an Organized Health Care Education/Training Program | 1275 York Ave, New York, NY 10065-6007 | 2018-03-22 |
| Street Address |
1 HARBOUR WAY |
| City | MILTON |
| State | WV |
| Zip Code | 25541-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972557932 | Christopher O. Branam | Family Medicine | 1 Harbour Way, Milton, WV 25541-1545 | 2006-05-22 |
| 1659721496 | Jessica D. Lewis | Nurse Practitioner | 1 Harbour Way, Milton, WV 25541 | 2016-06-13 |
| 1326420704 | Penny Skidmore | Registered Nurse | 1 Harbour Way, Milton, WV 25541-1545 | 2015-06-23 |
| 1184963944 | Valley Health Systems, Inc | Family Medicine | 1 Harbour Way, Milton, WV 25541-1545 | 2013-02-13 |
| 1184648297 | David Russell Ayers | Family Medicine | 1 Harbour Way, Milton, WV 25541-1545 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570601 | Mark Halcombe | Massage Therapist | 1208 Trenol Rd., Milton, WV 25541 | 2019-10-18 |
| 1285285528 | Amy Conrad | Technician | 1233 Glenwood St, Milton, WV 25541 | 2019-09-27 |
| 1841849981 | Penny Blake | Technician | 248 Woodmire Drive, Milton, WV 25541 | 2019-09-11 |
| 1013407691 | Brandi Raelynn Krismer | Massage Therapist | Suite 5 Perry Morris Square, Milton, WV 25541 | 2018-05-18 |
| 1548457922 | Bogren Chiropractic Health Center | Chiropractor | 332 East Main Street, Milton, WV 25541 | 2007-09-28 |
| 1255424248 | Donald G Klinestiver | Family Medicine | 1028 Mason St, Milton, WV 25541 | 2006-10-02 |
| 1093730624 | Linda Ann Eakle | Family Medicine | 1509 W Main Street, Milton, WV 25541 | 2006-07-13 |
| 1841288438 | Connie Sue Boggess | Occupational Therapist | 2216 Newmans Branch Road, Rural Route 3 Box 397, Milton, WV 25541 | 2005-10-09 |
| 1770999120 | Kristy M Ferguson | Specialist | 1109 Main St, Milton, WV 25541 | 2014-07-07 |
| 1588079677 | Legacy Therapy Services LLC | Occupational Therapist | 2216 Newmans Branch Road, Rural Route 3 Box 397, Milton, WV 25541 | 2014-06-26 |
| Find all providers in zip 25541 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730807 | Kaylin Marie Quinn | Nurse Practitioner | 4355 Glen Forest Dr, Milton, FL 32583-8239 | 2020-08-14 |
| 1861025496 | Alessia Armstrong Westry | Nurse Practitioner | 5138 Gardenbrook Blvd, Milton, FL 32570-2330 | 2020-02-21 |
| 1457851040 | Dzeneta Krndzija | Nurse Practitioner | 2980 Serenade Ct., Milton, GA 30004 | 2018-02-20 |
| 1245759778 | Shannon Barnes | Nurse Practitioner | 8941 Highway 90, Milton, FL 32583-3258 | 2017-09-15 |
| 1861847899 | Chaitali Patel | Nurse Practitioner | 2109 Greencrest Cir, Milton, GA 30004-3707 | 2016-04-27 |
| 1154788610 | Elizabeth Bowen | Nurse Practitioner | 475 Champions View Dr, Milton, GA 30004-6937 | 2016-01-28 |
| 1497140768 | Jennifer Haugen | Nurse Practitioner | 4244 Avalon Blvd, Milton, FL 32583-2808 | 2015-04-02 |
| 1679970669 | Caroline Sanders | Nurse Practitioner | 380 Sable Ct, Milton, GA 30004-8012 | 2014-11-19 |
| 1508115049 | Tamara Delphine Washington | Nurse Practitioner | 6501 Caroline St, Milton, FL 32570-4582 | 2012-08-30 |
| 1154624708 | Gregory Y Poythress | Nurse Practitioner | 5914 Jeff Ates Rd, Milton, FL 32583-8233 | 2010-12-20 |
| Find all providers in MILTON | ||||
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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.