STEPHANIE REBEKAH MOORE (NPI# 1417282542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417282542 |
Entity Type | Individual |
Full Name | STEPHANIE REBEKAH MOORE |
Credential | MSN, ARNP, FNP-C |
Practice Address |
20615 Amberfield Dr #102 Land O Lakes FL 34638-4387 |
Mailing Address |
20615 Amberfield Dr Ste 102 Land O Lakes FL 34638-4387 |
Practice Telephone | 8139492950 |
Mailing Telephone | 8139492950 |
Mailing Fax Number | 8139492924 |
Enumeration Date | 2009-10-07 |
Last Update Date | 2019-03-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9352274 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689299265 | Stephanie Angela Moore | Nurse Practitioner | 10850 Navajo Dr, New Port Richey, FL 34654-5233 | 2020-06-10 |
1174143432 | Stephanie Moore | Behavior Technician | 3205 N Dustin Ave, Farmington, NM 87401-9229 | 2020-04-16 |
1386113421 | Stephanie Jade Moore | Counselor | 1104 Vine Street, Batesville, AR 72501-8638 | 2018-11-19 |
1609371285 | Stephanie Michelle Moore | Physical Therapy Assistant | 11618 Us Hwy 70 W Ste 100, Clayton, NC 27520-2276 | 2018-03-27 |
1134639891 | Stephanie Moore | Counselor | 418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 | 2017-10-09 |
1851711337 | Stephanie Moore | Health Educator | 2438 Laconia Avenue, Bronx, NY 10469 | 2014-04-23 |
1467752584 | Stephanie K Moore | Social Worker | 308 Indigo Drive, Cary, NC 27513-3322 | 2010-10-22 |
1275789448 | Stephanie Strong Moore | Dentist | 2025 Glennfield Lane, Augusta, GA 30909 | 2008-08-07 |
1376676585 | Stephanie Moore | Behavioral Analyst | 3904 Seasons Pt, Evansville, IN 47715-1389 | 2007-03-14 |
1740261486 | Stephanie A Moore | Internal Medicine | 55 Fruit St # 800, Department of Cardiovascular Medicine, Boston, MA 02114-2621 | 2005-11-09 |
Street Address |
20615 AMBERFIELD DR #102 |
City | LAND O LAKES |
State | FL |
Zip Code | 34638-4387 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497751440 | Deborah Ann Williams | Nurse Practitioner | 20615 Amberfield Dr, #102, Land O Lakes, FL 34638-4387 | 2005-06-23 |
1922402551 | Lauren Nicole Deneve | Nurse Practitioner | 20615 Amberfield Dr, Land O Lakes, FL 34638-4387 | 2014-10-10 |
1265736912 | Joy Drexler | Nurse Practitioner | 20615 Amberfield Dr, Suite 102, Land O Lakes, FL 34638-4387 | 2011-01-10 |
1043454853 | Holly Marie Boyd | Nurse Practitioner | 20615 Amberfield Dr, Suite 102, Land O Lakes, FL 34638-4301 | 2009-04-23 |
1205894797 | Peggy Watson | Family Medicine | 20615 Amberfield Dr, Suite 102, Land O Lakes, FL 34638-4301 | 2006-05-03 |
1457318628 | Larnel P Sultan | Family Medicine | 20615 Amberfield Dr, Suite 102, Land O Lakes, FL 34638-4301 | 2006-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609341833 | Medical Risk Solutions | Family Medicine | 20360 Gator Lane, Land O Lakes, FL 34638 | 2018-10-03 |
1558845313 | Connerton Urgent Care LLC | Clinic/Center | 8527 Land O Lakes Blvd, Land O Lakes, FL 34638 | 2018-09-18 |
1588152441 | Aamani Jupalli | Student in an Organized Health Care Education/Training Program | 17801 Ayrshire Blvd, Land O Lakes, FL 34638 | 2018-04-26 |
1548764921 | Ibukun Woodson | Nurse Practitioner | 17446 Queensland St, Land O Lakes, FL 34638 | 2018-03-21 |
1851824106 | Lisa Ann Brooks | Dentist | 17780 Aprile Dr, Land O Lakes, FL 34638 | 2017-04-04 |
1437503653 | Luis A Vega | Social Worker | 17354 Criket Chirp Loop, Land O Lakes, FL 34638 | 2016-04-14 |
1548634157 | Diedre Smith | Registered Nurse | 9624 Maxson Drive, Land O Lakes, FL 34638 | 2015-11-19 |
1275806861 | Sylvia Zaky | Pharmacist | 2713 Butterfly Landing Drive, Land O Lakes, FL 34638 | 2012-02-14 |
1528225612 | Susan Louise Rarick | Psychologist | 20747 Sterlington Drive, Land O Lakes, FL 34638 | 2008-05-17 |
1851585665 | Royalty Care Services | Custodial Care Facility | 2930 Downan Point Drive, Land O Lakes, FL 34638 | 2007-09-05 |
Find all providers in zip 34638 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598370538 | Diane Alceste | Nurse Practitioner | 23044 Wood Violet Ct, Land O Lakes, FL 34639-2831 | 2020-09-15 |
1811514904 | Rachael Wright | Nurse Practitioner | 8220 Bluevine Sky Dr, Land O Lakes, FL 34637-7649 | 2020-07-06 |
1023633104 | Wahida Rahaman-dwarika | Nurse Practitioner | 5019 Balsam Dr, Land O Lakes, FL 34639-5628 | 2020-06-14 |
1780212027 | Zuliem Ramos Revilla | Nurse Practitioner | 2250 Tapestry Park Dr Apt 404, Land O Lakes, FL 34639-1400 | 2020-03-31 |
1801373402 | Indre Malaiskaite | Nurse Practitioner | 7618 Citrus Blossom Dr, Land O Lakes, FL 34637-7470 | 2018-07-26 |
1578078580 | Mary Marie Wasinger | Nurse Practitioner | 8136 Sequester Loop, Land O Lakes, FL 34637-7667 | 2017-12-13 |
1164880860 | Patricia Marie Trnka-stone | Nurse Practitioner | 10724 Burning Bush Ter, Land O Lakes, FL 34638-6883 | 2016-02-09 |
1013398759 | Heather Ancer | Nurse Practitioner | 7941 Grasmere Dr, Land O Lakes, FL 34637-7607 | 2015-06-17 |
1396011813 | Marie V Collins | Nurse Practitioner | 3200 Herne Bay Ct, Land O Lakes, FL 34638-8152 | 2012-03-29 |
1376729327 | Lisa Kay Nummi | Nurse Practitioner | 8728 Winsome Way, Land O Lakes, FL 34637-5818 | 2008-01-20 |
Find all providers in LAND O LAKES |
City | LAND O LAKES |
Zip Code | 34638 |
Please comment or provide details below to improve the information on STEPHANIE REBEKAH 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.