ELLEN M MOORE (NPI# 1407133606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407133606 |
| Entity Type | Individual |
| Full Name | ELLEN M MOORE |
| Credential | FNP |
| Practice Address |
352 Hospital Blvd Pineville LA 71360-6903 |
| Practice Telephone | 3184731426 |
| Practice Fax Number | 3184731435 |
| Mailing Telephone | 3184731426 |
| Mailing Fax Number | 3184731435 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2012-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06524 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881763779 | Ellen Cf Moore | Counselor | 18 Tulip Street, Lyndonville, VT 05851 | 2006-11-07 |
| 1841220936 | Ellen Moore | Social Worker | 3282 Adeline St, Berkeley, CA 94703-2439 | 2006-07-04 |
| 1285681445 | Ellen Cecile Moore | Pediatrics | 14 Woodridge Dr, Greenbrier, AR 72058-9583 | 2006-05-30 |
| 1992299515 | Ellen Moore | Family Medicine | 300 Lafayette Ave Se Ste 4000, Grand Rapids, MI 49503-4692 | 2018-06-18 |
| 1639615768 | Ellen Peyton Moore | Nurse Practitioner | 122 Weisenberger Rd, Madison, MS 39110-7993 | 2017-01-12 |
| 1679016422 | Ellen Moore | Social Worker | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2016-11-28 |
| 1598123796 | Ellen Moore | Pharmacist | 381 Market Square Dr, Maysville, KY 41056-8721 | 2016-02-02 |
| 1427476571 | Ellen Elizabeth Moore | Speech-Language Pathologist | 115 Delafield Street, Poughkeepsie, NY 12601 | 2014-04-04 |
| 1144594797 | Ellen Elizabeth Moore | Speech-Language Pathologist | 12605 East Fwy, Suite 200, Houston, TX 77015-5625 | 2012-02-29 |
| 1912226960 | Ellen Jane Moore | Internal Medicine | 800 E Cheves St, Suite 200, Florence, SC 29506-2650 | 2010-05-28 |
| Street Address |
352 HOSPITAL BLVD |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629018346 | Jean Baptiste Dorval | Surgery | 352 Hospital Blvd, Pineville, LA 71361-5352 | 2006-06-08 |
| 1104176130 | Melanie A. Lacour | Nurse Practitioner | 352 Hospital Blvd, Pineville, LA 71360-6903 | 2012-09-18 |
| 1285917146 | Karla Faye Carter | Nurse Practitioner | 352 Hospital Blvd, Pineville, LA 71360-6903 | 2011-09-27 |
| 1518106962 | Huey P. Long Reg Medical Center | Nurse Anesthetist, Certified Registered | 352 Hospital Blvd, Pineville, LA 71361-5352 | 2009-02-09 |
| 1144431685 | Dametria A Sinegal-daniel | Emergency Medicine | 352 Hospital Blvd, Pineville, LA 71360-6903 | 2007-05-25 |
| 1952436560 | Mary Halbert | Pharmacist | 352 Hospital Blvd, Pineville, LA 71360 | 2007-02-22 |
| 1477639730 | Lily Yang | Obstetrics & Gynecology | 352 Hospital Blvd, Pineville, LA 71360-6903 | 2006-10-30 |
| 1831275106 | Jonathan Horace May | Obstetrics & Gynecology | 352 Hospital Blvd, Pineville, LA 71360-6903 | 2006-10-30 |
| 1801970397 | Watts R Webb | Surgery | 352 Hospital Blvd, Pineville, LA 71361-5352 | 2006-10-24 |
| 1821002726 | Hernando Guzman | Emergency Medicine | 352 Hospital Blvd, Pineville, LA 71361-5352 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728035 | Samantha Hickman | Nurse Practitioner | 448 Willie Clark Rd, Pineville, LA 71360-7136 | 2020-07-26 |
| 1942822788 | Divia L. Smith | Nurse Practitioner | 11611 Stockdale Ct, Pineville, NC 28134-6422 | 2020-05-14 |
| 1477184331 | James Lee Williams | Nurse Practitioner | 251 S Pine St # 606337, Pineville, KY 40977-1646 | 2020-01-30 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1861988537 | Gayle Elliott | Nurse Practitioner | 308 Griffith St, Pineville, LA 71360-5270 | 2018-07-06 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1679023311 | Trent Hines | Nurse Practitioner | 204 Chloe Rd, Pineville, LA 71360-5858 | 2016-10-05 |
| 1720335631 | Tammy Marie Roton | Nurse Practitioner | 1135 Expressway Dr Ste 200a, Pineville, LA 71360-6653 | 2012-08-09 |
| 1164729919 | Nyoka S. Dunbar | Nurse Practitioner | 12130 Monkstown Dr, Pineville, NC 28134-7340 | 2011-02-14 |
| Find all providers in PINEVILLE | ||||
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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.