JACQUELINE MOORE (NPI# 1336702315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336702315 |
| Entity Type | Individual |
| Full Name | JACQUELINE MOORE |
| Practice Address |
6239 S East St Ste A Indianapolis IN 46227-2088 |
| Practice Telephone | 3177919031 |
| Mailing Telephone | 3177919031 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222754 | Jacqueline Blair Moore | Counselor | 14651 Dallas Pkwy Ste 134, Dallas, TX 75254-8904 | 2019-08-30 |
| 1376103838 | Jacqueline Faith Moore | Marriage & Family Therapist | 5450 Ralston St Ste 101, Ventura, CA 93003-6042 | 2019-06-17 |
| 1033611256 | Jacqueline Moore | Registered Nurse | 314 Main St Ste D, Monticello, MS 39654-3702 | 2018-03-03 |
| 1952655466 | Jacqueline Adele Moore | Massage Therapist | 1048 Spinnaker St, Elgin, IL 60123-8587 | 2012-11-06 |
| 1659649002 | Jacqueline Historian Moore | Licensed Practical Nurse | 6256 Hillandale Dr Apt 803, Lithonia, GA 30058-2432 | 2011-12-13 |
| 1619173838 | Jacqueline Diana Moore | Surgery | 2280 Opitz Blvd Ste 110, Woodbridge, VA 22191-3362 | 2007-06-25 |
| 1962059980 | Jacqueline Moore | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2019-08-23 |
| 1336702638 | Jacqueline Dyan Moore | Student in an Organized Health Care Education/Training Program | 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5340 | 2019-04-22 |
| 1598235889 | Jacqueline Marie Moore | Nurse Practitioner | 101 E 8th St Ste 110, Vancouver, WA 98660-3294 | 2018-11-29 |
| 1245705631 | Jacqueline Moore | Peer Specialist | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2018-10-11 |
| Street Address |
6239 S EAST ST STE A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-2088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447377809 | Melissa Hubbard | Physical Therapist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2007-03-23 |
| 1992319933 | Anna Lynch | Occupational Therapist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2020-09-08 |
| 1215548789 | Katrina Kaye Morgan | Developmental Therapist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2020-08-10 |
| 1770193047 | Megan G Stebbins | Speech-Language Pathologist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2020-08-03 |
| 1720697204 | Hannah Scheller | Speech-Language Pathologist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2020-07-30 |
| 1356950307 | Ella Katherine Hammons | Speech-Language Pathologist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2020-07-27 |
| 1083223036 | Emily Burd | Speech-Language Pathologist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2020-07-27 |
| 1699392167 | Miranda Anne Mazza | Developmental Therapist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2020-07-01 |
| 1104450923 | Terri Warne | Physical Therapy Assistant | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2020-03-02 |
| 1841849957 | Michelle Anderson | Physical Therapist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2019-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709112 | Holly Ann Brinker | Developmental Therapist | 1302 Wallace Ave, Indianapolis, IN 46201-1844 | 2020-08-03 |
| 1578113122 | Julia Kelle Mcmahon | Developmental Therapist | 8320 Flicker Ct, Indianapolis, IN 46237-9145 | 2019-09-16 |
| 1407405962 | Mackenzie Kasper | Developmental Therapist | 7308 Wood Duck Ct, Indianapolis, IN 46254-5818 | 2019-09-08 |
| 1639725336 | Bryce Greene | Developmental Therapist | 661 Barbados Dr, Indianapolis, IN 46227-2278 | 2019-08-18 |
| 1619530789 | Laurie Lynn Stark | Developmental Therapist | 1776 N Meridian St Ste 300, Indianapolis, IN 46202-1469 | 2019-04-15 |
| 1184182743 | Sherika Nichole Sultzer | Developmental Therapist | 3126 Shadow Brook Dr, Indianapolis, IN 46214-1903 | 2019-03-03 |
| 1033682349 | Debi Alexander | Developmental Therapist | 1427 Pittwood Dr, Indianapolis, IN 46240-1243 | 2019-01-09 |
| 1477026979 | Danyell S Smith | Developmental Therapist | 7012 Moon Ct, Indianapolis, IN 46241-3665 | 2019-01-07 |
| 1609348606 | Mary Margaret Wells | Developmental Therapist | 9233 Lakewind Ct, Indianapolis, IN 46256-9355 | 2019-01-02 |
| 1104397462 | Renee Abigail Foor | Developmental Therapist | 1925 W 51st St, Indianapolis, IN 46228-2306 | 2018-12-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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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.