PATRICIA MOORE (NPI# 1336699800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1336699800 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2900 Telestar Ct, Falls Church, VA 220421206 | 7035382065 | 7038527389 |
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 |
Street Address |
1101 SAM PERRY BLVD STE 307 |
City | FREDERICKSBURG |
State | VA |
Zip Code | 22401-4466 |
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 |
Find all providers in zip 22401 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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 |
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 |
City | FREDERICKSBURG |
Zip Code | 22401 |
Please comment or provide details below to improve the information on PATRICIA 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.