DR. LEE GODDARD MOORE (NPI# 1326432287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326432287 |
Entity Type | Individual |
Full Name | DR. LEE GODDARD MOORE |
Credential | DNP, ARNP, PMHNP-BC |
Practice Address |
1310 Bertha Ave Nw Bremerton WA 98312-2607 |
Practice Telephone | 3602071949 |
Practice Fax Number | 3608752170 |
Mailing Telephone | 3602071949 |
Mailing Fax Number | 3608752170 |
Enumeration Date | 2015-03-27 |
Last Update Date | 2020-11-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN60555844 | WA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60598248 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2929 E Camelback Rd Ste 114, Phoenix, AZ 850164425 | 6024836487 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942563051 | Lee Ann Moore | Pharmacist | 815 S College Rd, Wilmington, NC 28403-4409 | 2012-06-22 |
1306920913 | Lee Richard Moore Jr. | Optometrist | 311 Prospect Ave, Charles Town, WV 25414-1137 | 2006-10-24 |
1255320842 | Lee J Moore | Dentist | 2407 W 104th St, Chicago, IL 60655-1006 | 2005-10-17 |
1093709842 | Lee Eugene Moore | Dentist | 106 S Cummings Ln, Washington, IL 61571-3442 | 2005-09-08 |
1407398308 | Lee Moore | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2016-11-08 |
1699156950 | Lee Ellis Moore | Internal Medicine | 501 Baptist Dr Ste 220, Madison, MS 39110-2031 | 2015-06-12 |
1962728600 | Lee Katherine Moore | Emergency Medicine | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2010-04-19 |
1861648248 | Lee David Moore | Obstetrics & Gynecology | 2900 E 29th St, Suite 300, Bryan, TX 77802-2622 | 2008-08-17 |
1508859166 | Lee S Moore | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
Street Address |
1310 BERTHA AVE NW |
City | BREMERTON |
State | WA |
Zip Code | 98312-2607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609374180 | Lee Moore, Arnp, Pllc | Psychiatry & Neurology | 1310 Bertha Ave Nw, Bremerton, WA 98312-2607 | 2018-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
Find all providers in zip 98312 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912386459 | Shannon Paris | Nurse Practitioner | 1945 Trenton Ave, Bremerton, WA 98310-5047 | 2015-05-28 |
1427474790 | Northwest Psychiatry Inc Ps | Nurse Practitioner | 2528 Wheaton Way Ste 204, Bremerton, WA 98310-3305 | 2014-03-11 |
1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
1629266366 | Travis Armond Damico | Nurse Practitioner | 5002 Kitsap Way Ste 200, Bremerton, WA 98312-2359 | 2007-10-09 |
1578670303 | Donna L Poole | Nurse Practitioner | 5455 Almira Dr Se, Bremerton, WA 98311-8330 | 2006-08-25 |
1396211413 | Erin Mcmanus | Nurse Practitioner | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-10-16 |
1376972737 | Stanford Call | Nurse Practitioner | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2013-11-06 |
1851733729 | Lisa Pratt | Nurse Practitioner | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2013-07-22 |
1144544867 | Sharon Penny Lynne Ishihara | Nurse Practitioner | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2010-03-24 |
1073610325 | Jolene M. Culbertson | Nurse Practitioner | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-09-20 |
Find all providers in BREMERTON |
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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.