CATHY SHABAZ MOORE (NPI# 1477641017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477641017 |
| Entity Type | Individual |
| Full Name | CATHY SHABAZ MOORE |
| Credential | PA-C |
| Practice Address |
6180 Mae Anne Ave Suite 1 Reno NV 89523-4700 |
| Mailing Address |
1708 Lakeland Hills Dr Reno NV 89523-1267 |
| Practice Telephone | 7753543820 |
| Mailing Telephone | 7753130207 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA912 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609008564 | Cathy M Moore | Occupational Therapy Assistant | 4 S Oak Ave, Highland Springs, VA 23075-1750 | 2009-08-11 |
| 1639717739 | Cathy Margaret Moore | Social Worker | 2250 Thunderstick Dr Ste 1104, Lexington, KY 40505-9009 | 2019-12-19 |
| 1568920940 | Cathy Elaine Moore | Behavior Technician | 4050 Truxel Rd Ste A, Sacramento, CA 95834-3768 | 2019-03-05 |
| 1457765067 | Cathy Moore | Pharmacist | 3905 Concord Pkwy S, Concord, NC 28027-9058 | 2014-06-12 |
| 1316235914 | Cathy Ann Moore | Pharmacist | 2000 Kings Hwy, Port Charlotte, FL 33980-4214 | 2011-07-16 |
| 1831363860 | Cathy E Moore | Case Manager/Care Coordinator | 2626 Charles Dr, Chalmette, LA 70043-3779 | 2008-04-22 |
| Street Address |
6180 MAE ANNE AVE SUITE 1 |
| City | RENO |
| State | NV |
| Zip Code | 89523-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548438864 | Arc Management Group, LLC | Family Medicine | 6180 Mae Anne Ave, Ste 1, Reno, NV 89523-4700 | 2008-02-20 |
| 1194902916 | Medaisle Express, LLC | Family Medicine | 6180 Mae Anne Ave, Suite 2, Reno, NV 89523-4700 | 2008-01-23 |
| 1982720272 | Brook Lynn Hollinger | Acupuncturist | 6180 Mae Anne Ave, Suite 1, Reno, NV 89523-4729 | 2007-03-21 |
| 1972642593 | Russell Paul Hollinger | Chiropractor | 6180 Mae Anne Ave, Ste 1, Reno, NV 89523-4708 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351316 | Brian K. Iriye Md and Associates Ltd. | Obstetrics & Gynecology | 9780 S. Mccarran Blvd, #1, Reno, NV 89523 | 2019-08-12 |
| 1003323510 | Tate Health and Wellness, Pllc | Nurse Practitioner | 2005 Sierra Highlands Dr., Suite 101, Reno, NV 89523 | 2018-01-05 |
| 1952810194 | Michael Anacker | Occupational Therapist | 5410 Simons Drive, Reno, NV 89523 | 2017-09-20 |
| 1033570981 | Alison Butler | Speech-Language Pathologist | 7289 Heatherwood Dr., Reno, NV 89523 | 2016-03-18 |
| 1033586417 | Phoenix Providers | Preferred Provider Organization | 3844 Joy Ln, Reno, NV 89523 | 2015-09-01 |
| 1841637006 | Nicole Katherine Butler | Audiologist | 9770 S. Mccarren Blvd, Reno, NV 89523 | 2013-05-29 |
| 1477803922 | Laura Soukup | Speech-Language Pathologist | 5820 Lindsay Drive, Reno, NV 89523 | 2012-09-12 |
| 1578812939 | Jeanine Kay Johnson | Community Health Worker | 9195 Bay Meadows Dr., Reno, NV 89523 | 2012-08-31 |
| 1851626931 | Steven Koning | Optometrist | 9700 South Mccarran Blvd., Reno, NV 89523 | 2009-10-07 |
| 1306083712 | Medical Physics Services | General Acute Care Hospital | 2027 Thornbury Ct., Reno, NV 89523 | 2009-01-08 |
| Find all providers in zip 89523 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1497370514 | Jantima Shannon Becker | Physician Assistant | 1060 Crosswater Dr, Reno, NV 89523-7100 | 2020-06-15 |
| 1073148508 | Megan Marie Brandon | Physician Assistant | 236 W 6th St Ste 3, Reno, NV 89503-4517 | 2020-03-05 |
| 1487216719 | Abigail Freeman | Physician Assistant | 10745 Double R Blvd # 13, Reno, NV 89521-8979 | 2019-07-08 |
| 1902465321 | Michael Edward Callahan | Physician Assistant | 10509 Professional Cir Ste 101, Reno, NV 89521-4883 | 2019-06-10 |
| 1821656174 | Samantha Audrey Mcdougal | Physician Assistant | 450 Haleb Ct, Reno, NV 89521-8345 | 2019-06-02 |
| 1588039085 | Stat Wound Care Services LLC | Physician Assistant | 4790 Caughlin Pkwy # 379, Reno, NV 89519-0907 | 2015-12-09 |
| 1174998702 | Adeo Wound Services LLC | Physician Assistant | 4790 Caughlin Pkwy # 380, Reno, NV 89519-0907 | 2015-12-08 |
| 1649640814 | Aleah Kristin Hartung | Physician Assistant | 960 Caughlin Xing, #100, Reno, NV 89519-0611 | 2015-09-30 |
| 1235422304 | Ashley L Thompson | Physician Assistant | 1075 N Hills Blvd Ste 180, Reno, NV 89506-6799 | 2011-05-24 |
| Find all providers in RENO | ||||
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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.