CHRISTINE MOORE


Address: 200 Michelle Ln Apt 310, Groton, CT 06340-4235
Phone: 6304537497

CHRISTINE MOORE (NPI# 1508319955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508319955
Entity Type Individual
Full Name CHRISTINE MOORE
Credential IDC
Practice Address 200 Michelle Ln Apt 310
Groton
CT 06340-4235
Practice Telephone 6304537497
Enumeration Date 2016-08-02
Last Update Date 2016-08-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers CHRISTINE MOORE

NPI Name Taxonomy Address Enumeration
1215490875 Christine W. Moore Nurse Practitioner 763 E Us Highway 80 Ste 130, Forney, TX 75126-8676 2019-04-10
1790148948 Christine Ann Moore Student in an Organized Health Care Education/Training Program Carl A. Jones Hall, 1 Dogwood Avenue, Va Building 1, Mountain Home, TN 37684 2016-04-04
1407223316 Christine Moore Licensed Practical Nurse 4043 Stratmore Ave, Youngstown, OH 44511-3547 2015-08-26
1497070676 Christine Elizabeth Moore Nurse's Aide 1218 Castlebury Dr, Greencastle, IN 46135-1481 2010-03-31
1356670897 Christine J Moore Nurse Anesthetist, Certified Registered 185 Penny Ave, East Dundee, IL 60118-1454 2009-12-11
1033156054 Christine C Moore Chiropractor 6200 Chase Oaks Blvd, Ste 104, Plano, TX 75023-4652 2006-05-31
1407893431 Christine A Moore Nurse Practitioner 8706 W Hillsborough Ave, Tampa, FL 33615-3705 2006-05-31
1740279785 Christine Moore Genetic Counselor, MS 1554 Northern Blvd, Suite 204-nsuh Division of Medical Genetics, Manhasset, NY 11030-3006 2005-10-20
1235131574 Christine Lee Moore Family Medicine 402 W Pine St, Ste K, Raymore, MO 64083-9075 2005-06-01
1235612516 Christine Moore Licensed Vocational Nurse 11124 Wurzbach Rd Ste 100, San Antonio, TX 78230-2440 2018-09-12

Office Location

Street Address 200 MICHELLE LN APT 310
City GROTON
State CT
Zip Code 06340-4235

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912558610 Bruce Lancel Bernardo Lara Military Health Care Provider Fpo, Ae, 09587-2417, Groton, AE 06340 2019-09-24
1295393692 Ermelinda Elaine Alviso Military Health Care Provider Trout Ave, Groton, CT 06340 2019-05-31
1679034011 Derek James Hale Military Health Care Provider Fc 83 Numi, Trout Ave, Groton, CT 06340 2019-03-28
1063973790 Cody Eugene Shaw Military Health Care Provider Numi, Trout Ave Building 83, Groton, CT 06340 2019-03-26
1265906911 Homelife Companions and Homemakers, LLC Adult Companion 1 Fort Hill Road, Suite 3, Groton, CT 06340 2019-01-16
1144735457 Kristina Marie Carta Behavior Technician 220 Rt 12, Suite 205, Groton, CT 06340 2017-12-08
1538674262 Tercel Dental Pllc Dentist 643 Gold Star Hwy., Groton, CT 06340 2017-12-04
1306361662 Stonington Behavioral Health Inc Psychologist 618 Poquonnock Rd, Groton, CT 06340 2017-08-08
1104347806 Renae Reynolds Optometrist 489 Gold Star Hwy Ste 100, Groton, CT 06340 2017-07-03
1053831552 Susan A Bradbury Physical Therapist 455 Eastern Point Rd, Groton, CT 06340 2017-06-26
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063052819 Kenny Daniel Harp Military Health Care Provider 59 Deerwood Dr, Groton, CT 06340-2513 2020-01-09
1982244737 Lonnie Jay Reardon Military Health Care Provider 55 South Rd Apt 12c, Groton, CT 06340-4660 2020-01-09
1376194274 Christopher Lee Roy Smith Military Health Care Provider Uss San Juan (ssn 751), Groton, CT 06349 2019-09-23
1679132112 Hector Salvador Gonzalez Military Health Care Provider 2 Bushnell St, Groton, CT 06340-3306 2019-06-09
1295393692 Ermelinda Elaine Alviso Military Health Care Provider Trout Ave, Groton, CT 06340 2019-05-31
1558929026 Joshua Darren Savage Military Health Care Provider 35 Chrissos St, Groton, CT 06340-3307 2019-05-30
1679034011 Derek James Hale Military Health Care Provider Fc 83 Numi, Trout Ave, Groton, CT 06340 2019-03-28
1063973790 Cody Eugene Shaw Military Health Care Provider Numi, Trout Ave Building 83, Groton, CT 06340 2019-03-26
1689179640 David Saunders Military Health Care Provider 159 Navsubase Nlon, Groton, CT 06349 2018-03-29
1992241228 Phillip Lawernce Hardy Sr. Military Health Care Provider 123 Trout Ave, Naval Undersea Medical Institiute, Groton, CT 06340-5159 2017-01-10
Find all providers in GROTON

Competitor

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City GROTON
Zip Code 06340

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Dataset Information

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.

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