JOHN WAYNE MOORE (NPI# 1518200864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518200864 |
| Entity Type | Individual |
| Full Name | JOHN WAYNE MOORE |
| Credential | CRNP |
| Practice Address |
34617 Al Highway 75 Fyffe AL 35971-3488 |
| Mailing Address |
309 Taylor St Scottsboro AL 35768-2421 |
| Practice Telephone | 2566235242 |
| Practice Fax Number | 2566235243 |
| Mailing Telephone | 2562595313 |
| Mailing Fax Number | 2562594923 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-087639 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | LICENSE | 1-087639 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851841449 | John Douglas Moore | Military Health Care Provider | 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 | 2016-10-07 |
| 1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
| 1861815243 | John Steven Moore | Preventive Medicine | 13149 Hill Rd, College Station, TX 77845-9271 | 2014-01-21 |
| 1609218379 | John Easter Moore Jr. | Social Worker | 2032 Sheffield Rd, Oklahoma City, OK 73120-4926 | 2013-07-23 |
| 1972841781 | John A. Moore | Dentist | 113 N. Winter St., Midway, KY 40347-0761 | 2013-01-29 |
| 1487915799 | John S Moore | Registered Nurse | 26300 Ford Rd # 160, Dearborn Heights, MI 48127-2854 | 2012-06-04 |
| 1295028314 | John Robert Moore | Behavioral Analyst | 815 24th St Sw, Vero Beach, FL 32962 | 2011-05-23 |
| 1205130176 | John Robert Moore | Family Medicine | 9715 Hurlbut Rd, Remsen, NY 13438-4621 | 2011-01-06 |
| 1548462385 | John William Moore IIi | Internal Medicine | 2643 Patterson Rd Ste 605, Grand Junction, CO 81506-1937 | 2007-06-04 |
| 1962612317 | John D Moore | Hearing Instrument Specialist | 7050 W Palmetto Park Rd Ste 20, Boca Raton, FL 33433-3462 | 2007-05-23 |
| Street Address |
34617 AL HIGHWAY 75 |
| City | FYFFE |
| State | AL |
| Zip Code | 35971-3488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104973353 | Northeast Alabama Health Services, Inc. | Clinic/Center | 34617 Al Highway 75, Fyffe, AL 35971-3488 | 2007-01-03 |
| 1386019636 | Georgina Kay Knopps | Nurse Practitioner | 34617 Al Highway 75, Fyffe, AL 35971-3488 | 2015-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417230269 | T & N Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 34953 Al Hwy 75, Fyffe, AL 35971 | 2011-09-27 |
| 1316220163 | Brook Haven Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1580 County Road 43, Fyffe, AL 35971 | 2011-09-27 |
| 1568745321 | North Alabama Family Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4693 Main Street-powell, Fyffe, AL 35971 | 2011-09-27 |
| 1750663985 | Judy B. Haymon Homes, Inc. | Custodial Care Facility | 4693 Main Street-fyffe, Fyffe, AL 35971 | 2011-09-14 |
| 1427231083 | Blackwell's Way | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4140 County Rd 43, Fyffe, AL 35971 | 2007-12-06 |
| 1972886729 | Jackson County Community Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4693 Main Street-powell, Fyffe, AL 35971 | 2011-09-27 |
| 1023175270 | Calvin Oneal Sanders Jr. | Dentist | 1516 Main St, Fyffe, AL 35971 | 2007-01-03 |
| 1043366800 | Fyffe Pharmacy, LLC | Pharmacy | 44 Blackwell St., Fyffe, AL 35971-0067 | 2007-01-26 |
| 1639122542 | Pharmacy Partners LLC | Pharmacy | 1248 Main St, Fyffe, AL 35971-3471 | 2006-05-19 |
| 1457906943 | Tiffany Simpson Mcfall | Pharmacist | 1248 Main St, Fyffe, AL 35971-3471 | 2019-08-02 |
| Find all providers in zip 35971 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948368 | Starr Ellen Valerio | Nurse Practitioner | 115 Rachel Dr Nw, Huntsville, AL 35806 | 2020-10-02 |
| 1336756600 | Vivian Elizabeth Jackson | Nurse Practitioner | 1216 25th St N, Birmingham, AL 35234-3139 | 2020-09-30 |
| 1104430446 | Victory Health of Oneonta LLC | Nurse Practitioner | 28252 Al-75, Oneonta, AL 35121 | 2020-09-03 |
| 1467070300 | Sarah Katherine Clarke | Nurse Practitioner | 861 Pinemont Dr, Mobile, AL 36609-3037 | 2020-07-07 |
| 1104448919 | Thaila Keodouangdy | Nurse Practitioner | 9350 Ofallon Dr, Mobile, AL 36695-9813 | 2020-05-14 |
| 1447872320 | Irina Guerard | Nurse Practitioner | 8886 Lake View Dr, Fairhope, AL 36532-6939 | 2020-05-13 |
| 1528680915 | Pure Integrative Wellness and Hydration LLC | Nurse Practitioner | 2703 University Blvd E Ste B, Tuscaloosa, AL 35404-3226 | 2020-05-08 |
| 1811517402 | Lillian Teicher Branham | Nurse Practitioner | 382 Slaughter Rd, Madison, AL 35758-2008 | 2020-04-23 |
| 1265061006 | Margaret Kelly Mcclusky | Nurse Practitioner | 10147 Wildwood Ln, Cottondale, AL 35453-1117 | 2020-04-03 |
| 1427686062 | Tara Cooley | Nurse Practitioner | 909 Tracey Ln, Decatur, AL 35601-7701 | 2020-03-30 |
| 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.