SHELLIE RENEE MOORE (NPI# 1386125870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386125870 |
| Entity Type | Individual |
| Full Name | SHELLIE RENEE MOORE |
| Practice Address |
8477 S Suncoast Blvd Homosassa FL 34446-5028 |
| Practice Telephone | 4033489919 |
| Mailing Telephone | 4033489919 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 226000000X | Recreational Therapist Assistant | 211075 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8477 S SUNCOAST BLVD |
| City | HOMOSASSA |
| State | FL |
| Zip Code | 34446-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275689200 | Marian Grace Messer | Occupational Therapy Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2007-01-25 |
| 1861045585 | Lindsay Nedley | Physical Therapist | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2019-07-22 |
| 1336701267 | Curtis Whetzel | Physical Therapist | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2019-07-01 |
| 1053892125 | Tanni Shipp | Physical Therapy Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-27 |
| 1093296162 | Steven Roy | Physical Therapy Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-27 |
| 1154802221 | Edgar Allen Say-reyes | Speech-Language Pathologist | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-27 |
| 1962983064 | Margaret Reed | Physical Therapy Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-27 |
| 1952882052 | Kimberly Sipes | Recreational Therapist Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-27 |
| 1356822431 | Kimberly Ann Baugh | Recreational Therapist Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-27 |
| 1114408200 | Richard Graves | Physical Therapy Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215469184 | Citrus Dental Sleep Center, LLC | Dentist | 8415 South Suncoast Boulevard, Homosassa, FL 34446 | 2017-03-30 |
| 1992112593 | Charles D. Thomas | Dentist | 5382 S. Suncoast Blvd., Homosassa, FL 34446 | 2014-07-15 |
| 1336454339 | West Florida Medical Associates, P. A | Clinic/Center | 4363 South Suncoast Blvd, Homosassa Springs, FL 34446 | 2010-08-13 |
| 1548592991 | Angelina Rodriguez | Family Medicine | 7945 S Suncoast Blvd Ste A, Homosassa, FL 34446 | 2010-02-10 |
| 1760663371 | Nanci Langer-warren | Social Worker | 17 Linder Street, Homosassa, FL 34446 | 2007-11-26 |
| 1326107715 | Elaine Christy Ward | Family Medicine | 4930 S Suncoast Blvd, Homosassa, FL 34446 | 2006-12-08 |
| 1063585941 | Jennifer Lea Christain | Chiropractor | 5354 S Suncoast Blvd, Homosassa, FL 34446 | 2006-11-16 |
| 1851473581 | Robert J. Mcphee | Family Medicine | 8182 S Suncoast Blvd., Homosassa, FL 34446 | 2006-10-20 |
| 1063517811 | Annemarie Darts Newcomer | Optometrist | 4564 S Suncoast Blvd, Homosassa, FL 34446 | 2006-09-14 |
| 1306958525 | Gordon F Bunker | Family Medicine | 7151 International Ct, Homosassa, FL 34446 | 2006-09-01 |
| Find all providers in zip 34446 | ||||
| Taxonomy Code | 226000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreational Therapist Assistant |
| Recreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnesses. Recreational Therapist Assistants work in a variety of settings providing treatments using recreational activities, including games, sports, and crafts. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952882052 | Kimberly Sipes | Recreational Therapist Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-27 |
| 1356822431 | Kimberly Ann Baugh | Recreational Therapist Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-27 |
| 1841770047 | Lana Maria Lawson | Recreational Therapist Assistant | 8477 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679138077 | Alexandria Webb | Recreational Therapist Assistant | 5628 Robert Scott Dr N, Jacksonville, FL 32207-5976 | 2019-05-01 |
| 1386205169 | Leonel Leon-hernandez | Recreational Therapist Assistant | 53 Ash Dr, Hollywood, FL 33026-1102 | 2019-06-24 |
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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.