SHANDREA MOORE


Address: Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333
Phone: 3342557400

SHANDREA MOORE (NPI# 1356742548) 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) 1356742548
Entity Type Individual
Full Name SHANDREA MOORE
Credential NREMT
Practice Address Bldg 301 Andrews Avenue
Lyster Army Health Clinic
Fort Rucker
AL 36362-5333
Practice Telephone 3342557400
Mailing Telephone 3342557400
Enumeration Date 2014-09-08
Last Update Date 2014-09-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146N00000X Emergency Medical Technician, Basic E3007733 Emergency Medical Service Providers

Office Location

Street Address BLDG 301 ANDREWS AVENUE
LYSTER ARMY HEALTH CLINIC
City FORT RUCKER
State AL
Zip Code 36362-5333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871559518 David W Barber Orthopaedic Surgery Bldg 301 Andrews Avenue, Fort Rucker, AL 36362-5333 2006-04-21
1437670353 Heath Elliot Cox Emergency Medical Technician, Basic Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-06-30
1457888703 Michael Leroy Maxey Emergency Medical Technician, Basic Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-05-17
1689110884 Michael Lawrence Pharmacist Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-01-11
1225412026 Amanda Taylor Technician/Technologist Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2015-07-13
1396134342 Nirmal Pandey Emergency Medical Technician, Basic Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2015-01-14
1861898520 Denise Arnold Emergency Medical Technician, Basic Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2014-11-07
1639578693 Shilo Beving Registered Nurse Bldg 301 Andrews Avenue, Fort Rucker, AL 36362 2014-08-15
1275943292 Mary Hannes Registered Nurse Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362 2014-04-29
1912251323 Michele Chappell Holbrook Licensed Practical Nurse Bldg 301 Andrews Avenue, Fort Rucker, AL 36362 2012-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235745571 Rachel Kestler Specialist 4102 Gadiator Street, Fort Rucker, AL 36362 2020-09-22
1417589268 Jacob Michael Lezon Emergency Medical Technician, Basic 30501 Nevins St., Ft. Rucker, AL 36362 2020-02-10
1225535388 Rhonda Lewis Wesolek Dental Hygienist Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 2018-04-06
1770013369 National Vision, Inc. Technician/Technologist Bldg 9214, Fort Rucker, AL 36362 2017-06-15
1750730958 Teresa Morgan Knighten Dental Hygienist 4405 Innkeepers St, Fort Rucker, AL 36362 2016-06-08
1568826246 David Virgil II Technician, Other 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 2016-04-08
1356771257 Robert E Smith Emergency Medical Technician, Intermediate Blding 301 Andrew Ave, Ft Rucker, AL 36362 2013-11-14
1548503469 Lindsey Taylor Mendenhall Emergency Medical Technician, Basic Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 2013-03-28
1689913808 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Fort Rucker Bldg. 9214, Daleville, AL 36362 2013-02-07
1275880205 Sandra Lynn Griffin Banner Optometrist 33 Endl Ave, Fort Rucker, AL 36362 2012-08-09
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Taxonomy Information

Taxonomy Code 146N00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Basic

Taxonomy Definition

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902440514 Aaron William Laube Emergency Medical Technician, Basic 28 Galt Ln, Fort Rucker, AL 36362-2304 2019-11-06
1659812733 Rebecka Nisbet Emergency Medical Technician, Basic Andrews Avenue Building 301, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-03-09
1720493620 Nathan Kennedy Emergency Medical Technician, Basic 8350 3rd Ave Unit 284, Fort Rucker, AL 36362-2039 2014-06-30
1548503469 Lindsey Taylor Mendenhall Emergency Medical Technician, Basic Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 2013-03-28
1194065805 Brian Joseph Butler Emergency Medical Technician, Basic Bulding 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2013-02-18
1588922108 Zachary Thomas Fennell Emergency Medical Technician, Basic Building 301, Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2012-05-02
1659657666 Patrick Anthony Bronson Emergency Medical Technician, Basic Bld. 301 Andrews Avn., Fort Rucker, AL 36362-4444 2011-10-24
1346559770 Melissa Kay Thomas Emergency Medical Technician, Basic 200 N Harris Drive, Fort Rucker, AL 36362 2010-10-04
1912130337 Rishana Amanda Dunn Emergency Medical Technician, Basic Building 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2009-09-02
1932347275 Adam Christopher Heath Emergency Medical Technician, Basic 34 Thorne St, Fort Rucker, AL 36362-2102 2009-01-24
Find all providers in FORT RUCKER

Competitor

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City FORT RUCKER
Zip Code 36362

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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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