MRS. REBECCA ANN HAEFNER MOORE (NPI# 1366706376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366706376 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA ANN HAEFNER MOORE |
| Credential | CNP |
| Practice Address |
201 N Broad St Suite 308 Mankato MN 56001-3585 |
| Practice Telephone | 5073454448 |
| Mailing Telephone | 5073454448 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2015-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R-171994-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780144998 | Rebecca Moore | Registered Nurse | 60 Horseshoe Dr, Palmerton, PA 18071-6216 | 2019-03-22 |
| 1184107146 | Rebecca Moore | Counselor | 13800 W Wood River Rd, Wood River, NE 68883-9456 | 2018-09-14 |
| 1669953998 | Rebecca Charmaine Moore | Speech-Language Pathologist | 201 Oldtown Dr, Lexington, SC 29072-7221 | 2018-08-24 |
| 1437645371 | Rebecca Moore | Pharmacist | 2200 Harding Pl, Nashville, TN 37215-4145 | 2018-07-03 |
| 1447771001 | Rebecca Lynn Moore | Social Worker | 300 Pettigru St Ste 202, Greenville, SC 29601-3113 | 2017-07-03 |
| 1780023184 | Rebecca R. Moore | Case Manager/Care Coordinator | 206 Hamilton Dr, Westminster, SC 29693-1541 | 2013-06-19 |
| 1023395431 | Rebecca Ayne Moore | Advanced Practice Midwife | 1111 Ronald Reagan Pkwy # C1600, Avon, IN 46123-7085 | 2011-11-14 |
| 1285890954 | Rebecca Moore | Speech-Language Pathologist | 7201 N Classen Blvd, Suite 106, Oklahoma City, OK 73116-7100 | 2008-08-01 |
| 1962471573 | Rebecca L Moore | Internal Medicine | 6440 S Pontiac Ct, Centennial, CO 80111-4622 | 2006-03-16 |
| 1467051888 | Rebecca Lynn Moore | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2020-10-19 |
| Street Address |
201 N BROAD ST SUITE 308 |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505462 | Maria Spanier Maleska | Counselor | 201 N Broad St, Mankato, MN 56001-3585 | 2020-10-15 |
| 1831707637 | Emily Nienkerk | Counselor | 201 N Broad St, Mankato, MN 56001-3585 | 2020-07-17 |
| 1578183604 | Mallory K Meyer | Nurse Practitioner | 201 N Broad St, Mankato, MN 56001-3585 | 2020-04-18 |
| 1184250011 | Megan Marie Hein | Counselor | 201 N Broad St, Mankato, MN 56001-3585 | 2020-03-23 |
| 1740842111 | Jessica Marie Auel | Marriage & Family Therapist | 201 N Broad St, Mankato, MN 56001-3585 | 2019-07-05 |
| 1316397417 | Minnesota River Area Agency On Aging, Inc | Voluntary or Charitable | 201 N Broad St, Suite 102, Mankato, MN 56001-3585 | 2016-06-20 |
| 1649641606 | Maura Ann Flaherty | Marriage & Family Therapist | 201 N Broad St, Mankato, MN 56001-3585 | 2015-10-15 |
| 1902293053 | Jese Rugroden | Marriage & Family Therapist | 201 N Broad St, Mankato, MN 56001 | 2015-04-15 |
| 1124324272 | Chrysalis Chiropractic LLC | Clinic/Center | 201 N Broad St, Suite 302, Mankato, MN 56001-3585 | 2011-02-08 |
| 1205165834 | Jessica Moria Hansen-barnett | Chiropractor | 201 N Broad St, Suite 302, Mankato, MN 56001-3585 | 2009-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183604 | Mallory K Meyer | Nurse Practitioner | 201 N Broad St, Mankato, MN 56001-3585 | 2020-04-18 |
| 1952947384 | Conor Quinn | Nurse Practitioner | 120 E Main St, Mankato, MN 56001-3501 | 2019-11-20 |
| 1316500275 | Deanna Leigh Collins | Nurse Practitioner | 309 Holly Ln, Mankato, MN 56001-5422 | 2019-04-17 |
| 1720410921 | Debra Diane Sowers | Nurse Practitioner | 1400 Madison Ave, Suite 352, Mankato, MN 56001-5473 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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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.