CAROLYN NEOMA MOORE (NPI# 1437358975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437358975 |
| Entity Type | Individual |
| Full Name | CAROLYN NEOMA MOORE |
| Credential | CTRS |
| Practice Address |
12007 S Cedar Ave Jenks OK 74037-3344 |
| Practice Telephone | 9182960355 |
| Mailing Telephone | 9182960355 |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2007-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588151740 | Carolyn Jean Moore | Physical Therapist | 100 Baldwin Blvd, Fishersville, VA 22939-2375 | 2018-04-13 |
| 1568725950 | Carolyn Diane Moore | Speech-Language Pathologist | 1544 Greenly St, Hudsonville, MI 49426-9674 | 2012-06-20 |
| 1346496379 | Carolyn S Moore | Nurse Practitioner | 4741 Rolling Meadows Dr, Memphis, TN 38128-4851 | 2008-08-11 |
| 1386869303 | Carolyn R. Moore | Social Worker | 50 Stutz Bearcat Dr, Suite 2, Sedona, AZ 86336-5268 | 2007-04-16 |
| 1578614731 | Carolyn Joyce Moore | Nurse Practitioner | 3579 Franklin, Eugene, OR 97403-2356 | 2007-01-15 |
| 1700934163 | Carolyn Jo Moore | Counselor | 2525 Maine Ave, Richmond, CA 94804-2827 | 2007-01-08 |
| 1184781486 | Carolyn Moore | Dentist | 257 Commerce Dr, Peachtree City, GA 30269-1484 | 2007-01-03 |
| 1659445450 | Carolyn Moore | Dentist | 1769 Inkster, Garden City, MI 48135-2499 | 2006-11-20 |
| 1750316758 | Carolyn Lewis Moore | Nurse Practitioner | 1718 North Foster Dr, Suite B, Baton Rouge, LA 70806 | 2006-07-11 |
| 1720068182 | Carolyn Mae Moore | Social Worker | 1600 S Main St, Lebanon, OR 97355-3109 | 2006-01-20 |
| Street Address |
12007 S CEDAR AVE |
| City | JENKS |
| State | OK |
| Zip Code | 74037-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795507 | Brittanee Perez | Nurse Practitioner | 12813 South Ash Street, Jenks, OK 74037 | 2019-11-22 |
| 1790340743 | Hoppek Dental Pllc | Dentist | 202 South 2nd Street, Jenks, OK 74037 | 2019-05-06 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1881170520 | Beair Medical Group, Pllc | Counselor | 201 W. Main Street, Suite 101, Jenks, OK 74037 | 2018-07-16 |
| 1336646975 | Milagros Mirdo | Nurse Practitioner | 2897 W 112th Pl S, Jenks, OK 74037 | 2018-04-10 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1114435666 | Bristow Endeavor Healthcare, LLC | Special Hospital | 3029 W. Main Street, Jenks, OK 74037 | 2018-01-18 |
| 1720590748 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 11476 S Union Ave, Suite 102, Jenks, OK 74037 | 2017-10-31 |
| 1245778877 | Marriage and Family Solutions, LLC | Marriage & Family Therapist | 418 East B Street, Suite A, Jenks, OK 74037 | 2017-02-02 |
| 1265975916 | Lauren Key | Case Manager/Care Coordinator | 208 Fox Run Circle, Jenks, OK 74037 | 2016-11-29 |
| Find all providers in zip 74037 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083253264 | Amanda Sue Wood | Recreation Therapist | 4324 Avalon Ct, Oklahoma City, OK 73120-8175 | 2020-01-05 |
| 1861047052 | Monique Marie Di Lonardo | Recreation Therapist | 9526 S 95th East Ave, Tulsa, OK 74133-6163 | 2019-08-05 |
| 1184046328 | Tanya Fisher | Recreation Therapist | 205 N Admire Ave, El Reno, OK 73036-2603 | 2014-01-07 |
| 1073766499 | Stephanie Jo Bushnell | Recreation Therapist | 927 Swan Lake Ct, Edmond, OK 73003-4807 | 2008-10-29 |
| 1821274739 | Kristy Doyle | Recreation Therapist | 921 Ne 13th St # 117c, Oklahoma City, OK 73104-5007 | 2008-01-10 |
| 1376730077 | Susan Diane Bishop | Recreation Therapist | 2835 Bobwhite Trl, Edmond, OK 73025-2305 | 2007-09-27 |
| 1982803482 | Darlene Rumer Mcgrail | Recreation Therapist | 8509 E 33rd St, Tulsa, OK 74145-1510 | 2007-07-13 |
| 1952425274 | Jo Ann Coco-ripp | Recreation Therapist | 110 W Husband Ct, Stillwater, OK 74075-1754 | 2007-03-19 |
| 1447385950 | Jerry J. Jordan | Recreation Therapist | 325 Donna Ave, Guthrie, OK 73044-9494 | 2007-02-23 |
| 1013516749 | Stacy Dawn Lawton | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
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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.