TREVENA MOORE (NPI# 1407893456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407893456 |
| Entity Type | Individual |
| Full Name | TREVENA MOORE |
| Credential | MD |
| Practice Address |
2000 Olathe Kansas City KS 66160-1003 |
| Mailing Address |
2000 Olathe Blvd Attn: Credentialing Office Kansas City KS 66160 |
| Practice Telephone | 9135885746 |
| Practice Fax Number | 9132743546 |
| Mailing Telephone | 9135885746 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 2003012943 | MO | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
04-40273 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
2000 OLATHE |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66160-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418852 | Phatcharee Lueyot | Dietitian, Registered | 2000 Olathe, Kansas City, KS 66160-8505 | 2020-02-06 |
| 1407499551 | Ashley Bedelia Wagner | Dietitian, Registered | 2000 Olathe, Kansas City, KS 66160-7834 | 2019-10-22 |
| 1033760582 | Jamie Marie Ruebhausen | Internal Medicine | 2000 Olathe, Mailstop 1044, Kansas City, KS 66160-8505 | 2019-09-26 |
| 1831749613 | Courtney Elizabeth Carlson | Advanced Practice Midwife | 2000 Olathe, Kansas City, KS 66160-8505 | 2019-09-13 |
| 1023502267 | Megan Lea Stowell | Registered Nurse | 2000 Olathe, Kansas City, KS 66160-8505 | 2018-06-20 |
| 1952891533 | James Dinkel | Student in an Organized Health Care Education/Training Program | 2000 Olathe, Kansas City, KS 66160 | 2018-05-18 |
| 1235584822 | Lindsey Graviett | Student in an Organized Health Care Education/Training Program | 2000 Olathe, Kansas City, KS 66160-8505 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1831650670 | Autumn Brubaker | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 | 2019-03-26 |
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1871086876 | Mirna Asham | Student in an Organized Health Care Education/Training Program | Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 | 2018-06-13 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1508360207 | Rachel Guest | Student in an Organized Health Care Education/Training Program | Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 | 2018-03-19 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1144752601 | Lindsay Marie Baldridge | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 | 2017-04-03 |
| Find all providers in zip 66160 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932232121 | Teri Ann Lavenbarg | Pediatrics | Developmental Disabilities Center Kumed Ctr, 3901 Rainbow Blvd., Mail Stop 4003, Kansas City, KS 66160-0001 | 2007-03-14 |
| 1376676858 | Matthew John Braun | Pediatrics | 3901 Rainbow Blvd., Mail Stop 4003, Center for Child Health and Development, Kansas City, KS 66160-0001 | 2007-03-13 |
| 1063559284 | Susan Cannon | Pediatrics | Center for Child Health and Development, 3901 Rainbow Blvd., Mail Stop 4003, Kansas City, KS 66160-0001 | 2007-01-30 |
| 1114099876 | Center for Child Health and Development | Pediatrics | 3901 Rainbow Blvd Msn 4003, Kansas City, KS 66160-0001 | 2006-11-15 |
| 1992731145 | Kathryn Anne Ellerbeck | Pediatrics | 3901 Rainbow Blvd.-mailstop 4003, Center for Child Health and Development Center, Kansas City, KS 66160-0001 | 2006-06-22 |
| 1316203391 | Elizabeth Milkovich | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2012-04-04 |
| 1427286897 | Benjamin Thomas Black | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-06-24 |
| 1902085525 | Catherine Smith | Pediatrics | Center for Child Health and Development, 3901 Rainbow Blvd., Msn 4003, Kansas City, KS 66160-0001 | 2007-10-31 |
| 1164625877 | Elizabeth A Hastings | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-06-08 |
| 1871617183 | Louann Rinner | Pediatrics | Developmental Disabilities Center Kumed Ctr, 3901 Rainbow Blvd., Mail Stop 4003, Kansas City, KS 66160-0001 | 2007-03-19 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66160 |
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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.