ANGELA MOORE (NPI# 1417496027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417496027 |
| Entity Type | Individual |
| Full Name | ANGELA MOORE |
| Other Name | ANGELA STARK |
| Credential | B.S. |
| Practice Address |
905 S 30th St Broken Arrow OK 74014-2848 |
| Practice Telephone | 9189333964 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941694 | Angela Moore | Home Health | 1905 Emily Blnd, Winter Haven, FL 33884-3388 | 2019-09-13 |
| 1699257766 | Angela Charice Moore | Counselor | 4581 S Lapeer Rd Ste F, Orion, MI 48359-2415 | 2018-09-05 |
| 1962911917 | Angela Courtney Moore | Nurse Practitioner | 5040 Nw 7th St Ste 750, Miami, FL 33126-3490 | 2017-09-21 |
| 1992256309 | Angela Moore | Nurse's Aide | 519 W 2nd St, Genoa, IL 60135-1058 | 2016-10-20 |
| 1124579156 | Angela Moore | Occupational Therapist | 7204 Donneeford Rd, Wake Forest, NC 27587-8026 | 2016-10-14 |
| 1760704381 | Angela Santa Moore | Dentist | 1516 Michael Dr, Bedford, TX 76022-7248 | 2010-02-23 |
| 1962631317 | Angela Moore | Specialist | 47 Murray Guard Dr Ste B, Jackson, TN 38305-3765 | 2009-07-07 |
| 1184864076 | Angela Sue Moore | Family Medicine | 2131 N Ridge Road, Wichita, KS 67212-1570 | 2009-03-05 |
| 1073751830 | Angela Leigh Moore | Chiropractor | 3751 S Clyde Morris Blvd Unit 7, Port Orange, FL 32129-2356 | 2009-01-30 |
| 1326285107 | Angela Marie Moore | Social Worker | 455 E Dublin Granville Rd, Suite G, Worthington, OH 43085-3126 | 2009-01-15 |
| Street Address |
905 S 30TH ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74014-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
| 1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
| 1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
| 1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
| 1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
| 1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
| 1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
| 1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
| 1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
| Find all providers in zip 74014 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658321 | Individual and Family Matters LLC. | Counselor | 20216 E 43rd Pl S, Broken Arrow, OK 74014-1595 | 2020-04-20 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1467010074 | Candice Collins | Counselor | 6501 S Garnett Rd, Broken Arrow, OK 74012-8529 | 2019-05-30 |
| 1215492400 | Amanda Jeanne Lee | Counselor | 29815 E 36th St S, Broken Arrow, OK 74014-8325 | 2019-02-01 |
| 1841744356 | Dianna Lynn Schrimsher | Counselor | 410 N Palm Ct, Broken Arrow, OK 74012-2175 | 2016-08-12 |
| 1902266059 | Gamaliel Mananga | Counselor | 314 S Sycamore Pl, Broken Arrow, OK 74012-8367 | 2016-03-02 |
| 1659742997 | Amanda Hall | Counselor | 9545 Clearview Dr, Broken Arrow, OK 74014-3269 | 2015-10-13 |
| 1699190298 | Jennifer Johnson | Counselor | 2612 W Decatur St, Broken Arrow, OK 74011-6123 | 2014-02-19 |
| 1982033692 | Chris Jones | Counselor | 21560 E 161st St S, Broken Arrow, OK 74014-6446 | 2013-11-03 |
| 1285079889 | Roderick Vincent Knowles Jr. | Counselor | 11632 E 64th St, Broken Arrow, OK 74012-1369 | 2013-05-08 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74014 |
Please comment or provide details below to improve the information on ANGELA 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.