DR. LEE GODDARD MOORE


Address: 1310 Bertha Ave Nw, Bremerton, WA 98312-2607
Phone: 3602071949

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
2929 E Camelback Rd Ste 114, Phoenix, AZ 850164425 6024836487

Other Providers LEE MOORE

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

Office Location

Street Address 1310 BERTHA AVE NW
City BREMERTON
State WA
Zip Code 98312-2607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609374180 Lee Moore, Arnp, Pllc Psychiatry & Neurology 1310 Bertha Ave Nw, Bremerton, WA 98312-2607 2018-01-30

Providers in the same zip code

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 Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City BREMERTON
Zip Code 98312

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Dataset Information

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.

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