MS. BRANDI N MOORE (NPI# 1528041381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528041381 |
| Entity Type | Individual |
| Full Name | MS. BRANDI N MOORE |
| Other Name | MS. BRANDI N CANNOY |
| Credential | PA |
| Practice Address |
199 Hospital Dr Suite 5 Galax VA 24333-2454 |
| Mailing Address |
1123 Powder Mill Rd Ivanhoe VA 24350-3559 |
| Practice Telephone | 2762366136 |
| Practice Fax Number | 2762362536 |
| Mailing Telephone | 2766990105 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2008-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110-002204 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NCCPA CERTIFICATE NUMBER | 1068476 | 01 |
| VA | 10220815 | 05 | |
| VA | 010220793 | 05 | |
| VA | 010220807 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366085938 | Brandi Michelle Moore | Technician | 516 North Liberty, Rushville, IL 62681 | 2019-10-25 |
| 1114476074 | Brandi Moore | Naturopath | 6424 E Greenway Pkwy Ste 100-647, Scottsdale, AZ 85254 | 2016-10-03 |
| 1881839991 | Brandi L Moore | Speech-Language Pathologist | 13170 Dutchtwn Pt Ave, Apt 2721, Gonzales, LA 70737-0101 | 2008-12-04 |
| 1134300429 | Brandi Suzanne Moore | Speech-Language Pathologist | 2220 Sw Rambling Vine Rd, Lees Summit, MO 64082-4142 | 2007-11-15 |
| 1588122501 | Brandi Shaye Moore | Physician Assistant | 15 Park Creek Dr, Greenville, SC 29605-4270 | 2019-03-08 |
| 1063979581 | Brandi Moore | Occupational Therapist | 313 S 5th St, Odessa, DE 19730-2078 | 2019-02-21 |
| 1508333865 | Brandi Marie Moore | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2018-10-25 |
| 1285120931 | Brandi Alishia Moore | Speech-Language Pathologist | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4203 | 2018-07-05 |
| 1013275288 | Brandi Moore | Counselor | 2520 Saint Rose Pkwy, Ste. 202, Henderson, NV 89074-7783 | 2012-04-25 |
| 1093988743 | Brandi Lynn Moore | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2008-04-02 |
| Street Address |
199 HOSPITAL DR SUITE 5 |
| City | GALAX |
| State | VA |
| Zip Code | 24333-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568445526 | Amy E Butler | Internal Medicine | 199 Hospital Dr, Suite 7, Galax, VA 24333-2454 | 2005-11-23 |
| 1326486572 | Parrisa B Rupe | Physician Assistant | 199 Hospital Dr, Suite 7, Galax, VA 24333-2454 | 2013-06-10 |
| 1124381140 | Jamie Leigh King | Family Medicine | 199 Hospital Dr, Suite 7, Galax, VA 24333-2454 | 2012-06-25 |
| 1801171640 | Sandra Faye Popplewell | Nurse Practitioner | 199 Hospital Dr, Suite 5, Galax, VA 24333-2454 | 2011-10-12 |
| 1023323201 | Ashley Nicole Underwood | Nurse Practitioner | 199 Hospital Dr, Galax, VA 24333-2454 | 2010-08-12 |
| 1942430335 | Andrea Warren Rupe | Nurse Practitioner | 199 Hospital Dr, Suite 7, Galax, VA 24333-2454 | 2009-07-20 |
| 1316111024 | John Paul Clay | Physician Assistant | 199 Hospital Dr, Suite 7, Galax, VA 24333-2454 | 2008-04-15 |
| 1972661312 | Osei A Bonsu | Internal Medicine | 199 Hospital Dr, Suite 5, Galax, VA 24333-2454 | 2006-12-05 |
| 1689659401 | Robert L Lazo | Family Medicine | 199 Hospital Dr, Suite 7, Galax, VA 24333-2454 | 2005-12-14 |
| 1689659906 | Jo Ann Arey | Family Medicine | 199 Hospital Dr, Suite 7, Galax, VA 24333-2454 | 2005-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508872 | Family Preservation Services Inc. | Community/Behavioral Health | 140 D Larkspur Lane, Galax, VA 24333 | 2018-11-27 |
| 1215464292 | Emil William Sandstrom | Social Worker | 6999 Carrrolton Pike, Galax, VA 24333 | 2017-05-22 |
| 1548676505 | Ashley Allen Houk | Nurse Practitioner | 199 Hospital Dr Ste 7, Galax, VA 24333 | 2014-07-10 |
| 1043558745 | Oldtown Medical Care, LLC | Family Medicine | 306 Meadow St, Galax, VA 24333 | 2013-01-30 |
| 1447524152 | Karli Cathleen Meagher | Social Worker | 210 Calhoun Street, Galax, VA 24333 | 2012-02-27 |
| 1609003615 | Family Preservation Services, Inc | Community/Behavioral Health | 105 Rosenwald Felts Drive, Galax, VA 24333 | 2009-06-17 |
| 1730399452 | Stephen Earl Gause | Counselor | 6999 Carrollton Pike, Galax, VA 24333 | 2007-05-23 |
| 1326269903 | Rebecca L. Stanley | Counselor | 112 Painter Street, Galax, VA 24333 | 2007-05-01 |
| 1811075187 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1047 East Stuart Dr, Unit 18, Galax, VA 24333 | 2006-11-02 |
| 1497858872 | Ethan Young Jones | Dentist | 1001 E Stuart Drive, Galax, VA 24333 | 2006-09-07 |
| Find all providers in zip 24333 | ||||
| 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 |
|---|---|---|---|---|
| 1104159359 | Sharon Melissa Andrews | Physician Assistant | 199 Hospital Dr Ste 5, Galax, VA 24333-2453 | 2009-09-04 |
| 1528049269 | Paula Carter | Physician Assistant | 812 W Stuart Dr, Galax, VA 24333-2605 | 2005-11-09 |
| 1326486572 | Parrisa B Rupe | Physician Assistant | 199 Hospital Dr, Suite 7, Galax, VA 24333-2454 | 2013-06-10 |
| 1679827901 | Marcia Love | Physician Assistant | 103 Doctors Park, Galax, VA 24333-2277 | 2012-11-08 |
| 1104809029 | Sarah Diane Kurstedt | Physician Assistant | 199 Hospital Dr, Suite 5, Galax, VA 24333-2454 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981866 | Madison Emily Lloyd | Physician Assistant | 3416 Gayton Meadows Ter, Henrico, VA 23233-6647 | 2020-10-28 |
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1730788514 | Alaina Nichole Wayland | Physician Assistant | 10180 Portsmouth Rd Apt 1, Manassas, VA 20109-8024 | 2020-10-22 |
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1336755297 | Taylor Jones | Physician Assistant | 583 Fowler St, Marion, VA 24354-2203 | 2020-09-16 |
| 1366058232 | Carah Grace Whichard | Physician Assistant | 18778 Grahams Dr, Abingdon, VA 24211-7096 | 2020-09-16 |
| 1962015750 | Hannah Wallen | Physician Assistant | 8101 Hinson Farm Rd Ste 501, Alexandria, VA 22306-3403 | 2020-08-31 |
| 1073126215 | Nickolas Patrick Forsberg | Physician Assistant | 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191-5300 | 2020-08-27 |
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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.