PATRICIA MOORE


Address: 1101 Sam Perry Blvd Ste 307, Fredericksburg, VA 22401-4466
Phone: 5403743277

PATRICIA MOORE (NPI# 1336699800) 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) 1336699800
Entity Type Individual
Full Name PATRICIA MOORE
Credential NP
Practice Address 1101 Sam Perry Blvd Ste 307
Fredericksburg
VA 22401-4466
Mailing Address 22 Acacia Ct
Fredericksburg
VA 22405-2131
Practice Telephone 5403743277
Practice Fax Number 5403743280
Mailing Telephone (540) 226-9935
Enumeration Date 2016-10-09
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WH1000X Registered Nurse
Specialization: Hospice
0001137010 VA Nursing Service Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
0024174222 VA Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
0024174222 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 1336699800 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2900 Telestar Ct, Falls Church, VA 220421206 7035382065 7038527389

Other Providers PATRICIA MOORE

NPI Name Taxonomy Address Enumeration
1588012678 Patricia A Moore Social Worker 1300 W Belmont Ave Ste 309, Chicago, IL 60657-3241 2016-05-30
1841657244 Patricia Diahann Moore Counselor 133 Cheesman Lake Cir, Divide, CO 80814-9776 2016-01-15
1861893752 Patricia Ann Moore Social Worker 412 6th Ave Fl 7, New York, NY 10011-8409 2014-09-10
1982946232 Patricia Jeanne Moore Pathology 25331 Rayford Crest Dr, Spring, TX 77386-2838 2013-03-25
1356643324 Patricia Louise Moore Physician Assistant 1453 S. Bancroft, Indianaplis, IN 46203-3709 2010-11-24
1154658763 Patricia Edwards Moore Mechanotherapist 819 Se Morrison St Ste 240, Portland, OR 97214-6312 2009-11-03
1093902397 Patricia D. Moore Massage Therapist 22 E Shenango St, Sharpsville, PA 16150-1122 2007-10-01
1649337213 Patricia Rose Moore Psychologist 393 Mass Ave, Arlington, MA 02474 2007-01-03
1164431029 Patricia A. Moore Social Worker 520 N Haines St, Boise, ID 83712-8013 2006-08-07
1871574459 Patricia D Moore Specialist 11301 Wetupka Way, Hernando, MS 38632-4420 2005-11-09

Office Location

Street Address 1101 SAM PERRY BLVD STE 307
City FREDERICKSBURG
State VA
Zip Code 22401-4466

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992313415 Amanda Dodd Behavior Technician 1411 Princess Anne, Fredericksburg, VA 22401 2020-07-21
1215567326 Britteny Whitaker Behavior Technician 1411 Princess Ann, Fredericksburg, VA 22401 2020-01-17
1396389433 Ashley Stanevich Behavior Technician 1411 Princess Anne Lane, Fredericksburg, VA 22401 2019-11-01
1265074231 Anna Kelleher Behavior Technician 1411 Princess Anna St, Frericksburg, VA 22401 2019-10-11
1649824152 Zaan Z Ali Audiologist 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 2019-08-01
1790342426 Michael Williams Jr. Physician Assistant 411 B Park Hill Dr, Frederickburg, VA 22401 2019-05-29
1285290965 Ann Damalie Namabiro Behavior Technician 1411 Princess Ann Street, Fredericksburg, VA 22401 2019-05-17
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
1336655281 Hina Zafar Behavior Technician 1411 Princess Anne St., Fredericksburg, VA 22401 2017-12-14
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649751975 Mary Esancy Nurse Practitioner 1451 Hospital Dr, Fredericksburg, VA 22401-8424 2018-08-24
1033577390 Sarah Vitaletti Nurse Practitioner 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4467 2016-02-02
1053796607 Tracy Thomas Germaine Nurse Practitioner 9530 Cosner Dr, Suite 200, Fredericksburg, VA 22408-7760 2015-07-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831706597 Martha Luz Alejandro-bird Nurse Practitioner 120 Kings Way Ste &3300, Williamsburg, VA 23185-2505 2020-09-28
1285240648 Stephanie Williams Hatch Nurse Practitioner 304 Homestead Rd, Franklin, VA 23851-1345 2020-09-21
1346852639 Britteny Nicole Stone-joel Nurse Practitioner 614 Rolfe Street, Hampton, VA 23661 2020-08-19
1093324469 Grace A Odallo Nurse Practitioner 3441 Raytee Dr, Chesapeake, VA 23323-1230 2020-07-30
1558989186 Olivia Brooke Wright Nurse Practitioner 2451 Midtown Ave Apt 1317, Alexandria, VA 22303-1437 2020-07-09
1467070342 Amanda K Whitley Nurse Practitioner 401 Gordon Ave, Bristol, VA 24201-4106 2020-07-08
1194341792 Tina Fulcher Nurse Practitioner 13300 Burley Ridge Ln, Chester, VA 23831-7119 2020-06-19
1366067373 Luke Balmer Nurse Practitioner 3402 Upper Tillman Way, Powhatan, VA 23139-4349 2020-06-15
1174158539 Monica Kristine Thompson Nurse Practitioner 6340 Miller Dr, Alexandria, VA 22315-3512 2020-03-05
1326670100 Kristyn Dolores Fox Nurse Practitioner 830 Kempsville Rd Ste 2b223, Norfolk, VA 23502-3920 2020-02-10
Find all providers with the same taxonomy

Competitor

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City FREDERICKSBURG
Zip Code 22401

Improve Information

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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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