MR. ROBERT KEITH MOORE (NPI# 1346595154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346595154 |
| Entity Type | Individual |
| Full Name | MR. ROBERT KEITH MOORE |
| Credential | R.N. |
| Practice Address |
1465 Lakeland Dr Jackson MS 39216-4719 |
| Mailing Address |
550 Post Rd 709 Ridgeland MS 39157-9601 |
| Practice Telephone | 7697771058 |
| Practice Fax Number | 7692302864 |
| Mailing Telephone | 6015131108 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2016-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R882271 | MS | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868294 | Robert John Moore | Social Worker | 1633 Fairmount Ave, Philadelphia, PA 19130-2352 | 2019-06-02 |
| 1124683685 | Robert Hart Moore | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency 980118, 1250 E. Marshal Street, Richmond, VA 23298-0118 | 2019-05-09 |
| 1205354511 | Robert Lee Moore | Student in an Organized Health Care Education/Training Program | Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 | 2017-09-07 |
| 1083091201 | Robert Moore | Specialist/Technologist | 11600 Mary Catherine Dr, Clinton, MD 20735-1040 | 2015-04-27 |
| 1497150015 | Robert Moore | Audiologist | Dept of Speech Pathology and Audiology, Hahn 1119, University of South Alabama, Mobile, AL 36688-0001 | 2014-10-24 |
| 1780020388 | Robert R Moore | Counselor | 88 Beckwith Dr, Galesburg, MI 49053-9604 | 2013-05-22 |
| 1114262581 | Robert Daniel Moore | Hearing Instrument Specialist | 1911 S Main Street, Corbin, KY 40701 | 2012-12-11 |
| 1487918413 | Robert Wallace Moore Jr. | Orthopaedic Surgery | 4563 Landfall Ct, Destin, FL 32541-5313 | 2012-06-25 |
| 1972804102 | Robert Stephen Moore | Pharmacist | 671 Rancho Santa Fe Road, San Marcos, CA 92078-3973 | 2010-11-04 |
| 1942539978 | Robert Andrew Moore | Family Medicine | 11848 Goshen Ave, 301, Los Angeles, CA 90049-6336 | 2009-12-22 |
| Street Address |
1465 LAKELAND DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003982679 | Dennis Morgan Hydrick Jr. | Counselor | 1465 Lakeland Dr, Jackson, MS 39216-4719 | 2006-11-27 |
| 1629638127 | Kiara Latrese Bass | Counselor | 1465 Lakeland Dr, Jackson, MS 39216-4719 | 2019-06-17 |
| 1427510874 | Stephanie Moses | Counselor | 1465 Lakeland Dr, Jackson, MS 39216-4719 | 2019-04-04 |
| 1063951416 | Heather Statham | Counselor | 1465 Lakeland Dr, Jackson, MS 39216-4719 | 2017-02-17 |
| 1184075228 | Janie Mae Grant | Registered Nurse | 1465 Lakeland Dr, Jackson, MS 39216-4719 | 2016-06-30 |
| 1225498256 | Arin Adkins | Social Worker | 1465 Lakeland Dr, Jackson, MS 39216-4719 | 2016-03-03 |
| 1245616556 | Chrisitan Ware | Counselor | 1465 Lakeland Dr, Jackson, MS 39216-4719 | 2015-08-10 |
| 1710366273 | Mississippi Children's Home Society | Residential Treatment Facility, Emotionally Disturbed Children | 1465 Lakeland Dr, Jackson, MS 39216-4719 | 2015-05-29 |
| 1952780561 | Laura Moore | Registered Nurse | 1465 Lakeland Dr, Jackson, MS 39216-4719 | 2015-05-28 |
| 1922490853 | Ryan Dunlap | Counselor | 1465 Lakeland Dr, Jackson, MS 39216-4719 | 2015-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025062 | Frederick Marvin Terry | Registered Nurse | 2135 Henry Hill Dr Ste 200, Jackson, MS 39204-2013 | 2020-08-28 |
| 1760091888 | Roshunda Sterling | Registered Nurse | 421 Hillandale Dr, Jackson, MS 39212-3204 | 2020-07-24 |
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1417585670 | Anna Cox | Registered Nurse | 1190 N State St Ste Ll01, Jackson, MS 39202-2413 | 2020-03-31 |
| 1588297873 | Kia Danielle Montgomery | Registered Nurse | 350 W Woodrow Wilson Ave Ste 411, Jackson, MS 39213-7681 | 2020-02-15 |
| 1831729417 | Bertha Siedah Sullivn | Registered Nurse | 635 Hampton Way Apt C, Jackson, MS 39211-2300 | 2020-01-22 |
| 1922651744 | Jessica Marie Brown | Registered Nurse | 220 Summit St, Jackson, MI 49203-4667 | 2019-07-21 |
| 1366902413 | Theresa Louise Hendrick | Registered Nurse | 1410 4th St, Jackson, MI 49203-4030 | 2019-03-24 |
| 1508324302 | Erica Daliance Simmons | Registered Nurse | 2246 Wild Valley Dr, Jackson, MS 39211-6164 | 2019-03-11 |
| 1326529942 | Moshe Reich | Registered Nurse | 874 Bethel Church Rd, Jackson, NJ 08527-1712 | 2018-08-22 |
| Find all providers in JACKSON | ||||
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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.