TAMARA L MOORE (NPI# 1336673292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336673292 |
| Entity Type | Individual |
| Full Name | TAMARA L MOORE |
| Credential | CRNA |
| Practice Address |
744 S Webster Ave Green Bay WI 54301-3505 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9204333605 |
| Practice Fax Number | 9204333589 |
| Mailing Telephone | 9204457222 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 234432-30 | WI | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 234432-30 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801340229 | Tamara Moore | Technician, Other | 1096 Stamford Rd, Ypsilanti, MI 48198-3248 | 2016-08-15 |
| 1861831851 | Tamara Alisha Moore | Behavioral Analyst | 5720 Oakwood St, Spencer, OK 73084-8639 | 2013-06-23 |
| 1497011001 | Tamara Lynn Moore | Pediatrics | 1811 E Bert Kouns Industrial Loop Ste 140, Shreveport, LA 71105-5741 | 2012-04-09 |
| 1760656722 | Tamara S Moore | Speech-Language Pathologist | 4218 W Morris Hill Rd, Boise, ID 83706-1949 | 2008-04-21 |
| 1891294377 | Tamara Renese Moore | Counselor | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2018-02-09 |
| 1467973768 | Tamara Kyle Moore | Nurse Practitioner | 200 Ports Authority Dr, Mount Pleasant, SC 29464-7998 | 2017-06-28 |
| 1891236642 | Tamara Moore | Counselor | 6381 Sw 10th St, North Lauderdale, FL 33068-2717 | 2017-03-13 |
| 1780091470 | Tamara Moore | Nurse Practitioner | 1610 E Camelback Rd, Phoenix, AZ 85016-3902 | 2014-07-15 |
| 1962784348 | Tamara Y Moore | Pharmacist | 101 Conley Rd, Columbia, MO 65201-6465 | 2011-09-13 |
| 1417269333 | Tamara Moore | Pharmacist | 5130 Bellaire Blvd, Bellaire, TX 77401-4003 | 2010-07-08 |
| Street Address |
744 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398283 | Sampoornima Setty | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2005-06-30 |
| 1447858857 | Caycie N Bray | Physical Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-16 |
| 1326645029 | Nikki Lee Leow | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-06 |
| 1033726914 | Patricia M Slempkes | Occupational Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-09-25 |
| 1255941746 | Cassandra Toellner | Anesthesiologist Assistant | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-08-09 |
| 1376151951 | Dayna Elizabeth Schneider | Speech-Language Pathologist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-07-20 |
| 1164045092 | Robyn W Lauritsen | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-27 |
| 1831711860 | Ashley Elizabeth Mijal | Nurse Practitioner | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-13 |
| 1336760883 | Veronica B Hoppe | Pharmacist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-06 |
| 1386264521 | Brian Joseph Eggener | Radiology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416480 | Tyler William Shimek | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-08-09 |
| 1942822473 | Brittany Elizabeth Pitsch | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2020-05-06 |
| 1598305393 | Syphay Vongkhamchanh | Nurse Anesthetist, Certified Registered | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-01-09 |
| 1306480157 | Devin Calaway | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2019-11-05 |
| 1982253647 | Caralynn E Andrus | Nurse Anesthetist, Certified Registered | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2019-09-05 |
| 1497228571 | Kyle W Runningen | Nurse Anesthetist, Certified Registered | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2019-01-10 |
| 1821560996 | Matthew Kolonich | Nurse Anesthetist, Certified Registered | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2018-12-29 |
| 1154814671 | Heath Cruise Tolliver | Nurse Anesthetist, Certified Registered | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2018-06-09 |
| 1386131324 | Kenneth D Peterson | Nurse Anesthetist, Certified Registered | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2018-04-16 |
| 1649773813 | Kweku D Arko-gilbert | Nurse Anesthetist, Certified Registered | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2018-03-14 |
| Find all providers in GREEN BAY | ||||
Please comment or provide details below to improve the information on TAMARA L MOORE.
| 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.