MICHELLE LAVERNE MOORE (NPI# 1356747687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356747687 |
| Entity Type | Individual |
| Full Name | MICHELLE LAVERNE MOORE |
| Credential | NP |
| Practice Address |
1050 Benton St Santa Clara CA 95050-4854 |
| Practice Telephone | 9166123034 |
| Mailing Telephone | 9166123034 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000824 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSE PRACTIONER LICENSE NUMBER | 95000824 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619501020 | Michelle K Moore | Driver | 4179 Westbrook Dr, Cleveland, OH 44144-1234 | 2020-02-24 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1043769268 | Michelle Moore | Nurse Practitioner | 458 N May St, Chicago, IL 60642-5819 | 2016-09-29 |
| 1407251481 | Michelle Lynn Moore | Contractor | 364 Patteson Dr, 290, Morgantown, WV 26505-3202 | 2014-11-03 |
| 1164827754 | Michelle Moore | Counselor | 550 Bilper Ave Apt 6119, Lindenwold, NJ 08021-1866 | 2014-10-26 |
| 1669880423 | Michelle Moore | Counselor | 302 E Hersey St Ste 8, Ashland, OR 97520-1200 | 2014-07-24 |
| 1992112361 | Michelle Lejay Moore | Community Health Worker | 209 E Moore Ave, Terrell, TX 75160-3207 | 2014-07-17 |
| 1548686512 | Michelle Rachel Moore | Physical Therapist | 750 N Estrella Pkwy Ste 50, Goodyear, AZ 85338-9279 | 2014-03-13 |
| Street Address |
1050 BENTON ST |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95050-4854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
| 1942854013 | Beatrice M Roque | Behavior Technician | 1171 Homestead Rd Ste.250, Santa Clara, CA 95050 | 2019-07-27 |
| 1619433836 | Angelica Chavez | Behavioral Analyst | 1171 Homested Rd Ste 250, San Jose, CA 95050 | 2019-02-12 |
| 1578047551 | Tran and Nguyen Dental Corporation | Dentist | 1171 Homestead Rd Suite #214, Santa Clara, CA 95050 | 2018-09-17 |
| 1467938431 | Yvette Garcia | Behavioral Analyst | 1171 Homestead Ave #250, Santa Clara, CA 95050 | 2018-07-12 |
| 1174016117 | Kahrizak Foundation Inc. | Assisted Living Facility | 1818 Scott Blvd, Santa Clara, CA 95050 | 2018-06-13 |
| 1194217620 | Diana Urias | Behavioral Analyst | 1151 Homestead Rd Ste 250, Santa Clara, CA 95050 | 2018-05-31 |
| 1801321583 | Alexandra Araujo | Behavior Technician | 962 Reeve St, Santa Clara, CA 95050 | 2017-05-01 |
| 1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
| 1922411503 | Olivia Brown Krakower | Speech-Language Pathologist | 1880 Pruneridge Avenue, Santa Clara, CA 95050 | 2014-06-11 |
| Find all providers in zip 95050 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591979 | Viktor Vasas | Nurse Practitioner | 4501 Carlyle Ct Apt 1308, Santa Clara, CA 95054-3925 | 2020-09-04 |
| 1831639855 | Jamie Reed Saxena | Nurse Practitioner | 3375 Scott Blvd Ste 336, Santa Clara, CA 95054-3113 | 2017-02-24 |
| 1508259342 | Laura Blackwell | Nurse Practitioner | 1345 Lincoln St, Santa Clara, CA 95050-4638 | 2015-03-17 |
| 1508262817 | Sun Hye Kim | Nurse Practitioner | 1871 Martin Ave # 102, Santa Clara, CA 95050-2501 | 2014-11-13 |
| 1669819702 | Vanessa Naval | Nurse Practitioner | 483 Clarkwood Ct, Santa Clara, CA 95054-2108 | 2013-05-30 |
| 1669025631 | Brittni Christin Moroyoqui | Nurse Practitioner | 2700 Homestead Rd, Santa Clara, CA 95051-5353 | 2019-07-18 |
| 1033611280 | Ja Young Kim | Nurse Practitioner | 2734 El Camino Real, Santa Clara, CA 95051-3007 | 2018-03-04 |
| 1417457094 | Ashraf M Hosseinian | Nurse Practitioner | 710 Lawrence Expy Dept 348, Santa Clara, CA 95051-5173 | 2018-02-20 |
| 1568976660 | Maria Bolinao Braren | Nurse Practitioner | 2737 Walsh Ave, Santa Clara, CA 95051-0965 | 2017-11-28 |
| 1730604364 | Wenny Hsinwei Lee | Nurse Practitioner | 2005 De La Cruz Blvd Ste 271, Santa Clara, CA 95050-3031 | 2017-08-04 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95050 |
Please comment or provide details below to improve the information on MICHELLE LAVERNE 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.