REBECCA HEROLD MOORE (NPI# 1477609089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477609089 |
| Entity Type | Individual |
| Full Name | REBECCA HEROLD MOORE |
| Credential | MD |
| Practice Address |
650 E 4500 S Salt Lake City UT 84107-2900 |
| Practice Telephone | 8012882634 |
| Mailing Telephone | 8012882634 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
7549060 | UT | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
N2671 | TX | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
44442 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780144998 | Rebecca Moore | Registered Nurse | 60 Horseshoe Dr, Palmerton, PA 18071-6216 | 2019-03-22 |
| 1184107146 | Rebecca Moore | Counselor | 13800 W Wood River Rd, Wood River, NE 68883-9456 | 2018-09-14 |
| 1669953998 | Rebecca Charmaine Moore | Speech-Language Pathologist | 201 Oldtown Dr, Lexington, SC 29072-7221 | 2018-08-24 |
| 1437645371 | Rebecca Moore | Pharmacist | 2200 Harding Pl, Nashville, TN 37215-4145 | 2018-07-03 |
| 1447771001 | Rebecca Lynn Moore | Social Worker | 300 Pettigru St Ste 202, Greenville, SC 29601-3113 | 2017-07-03 |
| 1780023184 | Rebecca R. Moore | Case Manager/Care Coordinator | 206 Hamilton Dr, Westminster, SC 29693-1541 | 2013-06-19 |
| 1023395431 | Rebecca Ayne Moore | Advanced Practice Midwife | 1111 Ronald Reagan Pkwy # C1600, Avon, IN 46123-7085 | 2011-11-14 |
| 1285890954 | Rebecca Moore | Speech-Language Pathologist | 7201 N Classen Blvd, Suite 106, Oklahoma City, OK 73116-7100 | 2008-08-01 |
| 1962471573 | Rebecca L Moore | Internal Medicine | 6440 S Pontiac Ct, Centennial, CO 80111-4622 | 2006-03-16 |
| 1467051888 | Rebecca Lynn Moore | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2020-10-19 |
| Street Address |
650 E 4500 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015260 | James B Stinson | Specialist | 650 E 4500 S, Salt Lake City, UT 84107-2900 | 2005-07-01 |
| 1760918759 | Procare Hospice of Utah, LLC | Hospice Care, Community Based | 650 E 4500 S, Suite 350, Salt Lake City, UT 84107-2900 | 2017-05-11 |
| 1427502624 | Andrea Robison | Counselor | 650 E 4500 S, Salt Lake City, UT 84107-2900 | 2016-08-05 |
| 1073962601 | Charles Johnson | Counselor | 650 E 4500 S, #300, Salt Lake City, UT 84107-2900 | 2016-06-04 |
| 1073961579 | Camile Nielson | Social Worker | 650 E 4500 S, Salt Lake City, UT 84107-2900 | 2016-05-25 |
| 1164715124 | Minerva Abeleda Dantis-tan | Nurse Practitioner | 650 E 4500 S, Ste 210, Salt Lake City, UT 84107-4520 | 2011-05-24 |
| 1912168345 | Landon Dickson | Internal Medicine | 650 E 4500 S, Ste. 210, Salt Lake City, UT 84107-2900 | 2008-06-18 |
| 1649452772 | Ruth Merry Indahyung | Internal Medicine | 650 E 4500 S, Suite 210, Salt Lake City, UT 84107-2900 | 2007-11-30 |
| 1992991921 | Sanjiv Anand | Internal Medicine | 650 E 4500 S, Suite 201, Salt Lake City, UT 84107-2900 | 2007-09-24 |
| 1285736926 | Marie Kathleen Acree | Clinical Nurse Specialist | 650 E 4500 S, Suite 300, Salt Lake City, UT 84107-2900 | 2006-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952560351 | Aylin Rachel Rodan | Internal Medicine | 85 Medical Dr, Room 223, Salt Lake City, UT 84112-1100 | 2008-06-02 |
| 1578761003 | Hasan Joseph Salameh | Internal Medicine | 650 E 4500 S Ste 210, Salt Lake City, UT 84107-4520 | 2007-07-05 |
| 1801824438 | Sey M Lau | Internal Medicine | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2006-06-30 |
| 1679533012 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 880 E 3900 S, Ste B, Salt Lake City, UT 84107-2151 | 2006-03-27 |
| 1477555696 | Yaw Ababio Boateng | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2005-06-01 |
| 1861885022 | University of Utah Adult Services | Internal Medicine | 85 Medical Dr, 201, Salt Lake City, UT 84112-1100 | 2015-03-12 |
| 1750785556 | University of Utah Adult Services | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1508182437 | Tahir Zaman | Internal Medicine | 1250 E 3900 S Ste 410, Salt Lake City, UT 84124-1364 | 2010-04-16 |
| 1649417718 | Andrea Marie Nelson | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2009-01-12 |
| 1780833889 | Monique Eun Hee Cho | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2008-09-12 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
Please comment or provide details below to improve the information on REBECCA HEROLD 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.