CHARLEENE LUCILLE MOORE (NPI# 1548537293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548537293 |
| Entity Type | Individual |
| Full Name | CHARLEENE LUCILLE MOORE |
| Credential | L.P.N. |
| Practice Address |
5164 Champlin Dr Perrysburg OH 43551-7179 |
| Practice Telephone | 4193400977 |
| Mailing Telephone | 4193400977 |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 146571-M-IV | OH | Nursing Service Providers |
| Street Address |
5164 CHAMPLIN DR |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551-7179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1487136727 | Urgent Care Travel, Inc | Clinic/Center | 26415 Warns Road, Lake Township, OH 43551 | 2018-09-04 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1063999373 | Misty Mary Anne Sheeks-mejri | Registered Nurse | 181 Birchdale Rd, Perrysburg, OH 43551 | 2018-07-20 |
| 1710406160 | Daniel Saffo | Dentist | 27072c Carronade Dr, Perrysburg, OH 43551 | 2017-09-18 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1205357167 | Angela Elaine Howard | Counselor | 800 Commerce Dr., Perrysburg, OH 43551 | 2017-06-30 |
| 1306376140 | Hannah Sue Neumeyer | Counselor | 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 | 2017-06-14 |
| 1790132199 | Justin Allen Cole | Emergency Medicine | 10421 Scarlet Oak Dr, Perrysburg, OH 43551 | 2016-05-16 |
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| Find all providers in zip 43551 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477061182 | Rosalva Ford | Licensed Practical Nurse | 800 Commerce Dr, Perrysburg, OH 43551-5256 | 2018-01-16 |
| 1285182220 | Rachel Shaw | Licensed Practical Nurse | 5230 Genoa Rd, Perrysburg, OH 43551-9765 | 2016-09-20 |
| 1427402072 | Pamela Smith | Licensed Practical Nurse | 27072 Carronade Dr Ste A, Perrysburg, OH 43551-5363 | 2016-04-20 |
| 1306227517 | Shalin Matthews | Licensed Practical Nurse | 150 W South Boundary St # Pmo214, Perrysburg, OH 43551 | 2015-06-12 |
| 1366838765 | Contessa Hamilton | Licensed Practical Nurse | 26767 Lakevue Dr, Apt 7, Perrysburg, OH 43551-3358 | 2015-04-13 |
| 1568898583 | Peggy Lynne Shane | Licensed Practical Nurse | 10285 Dowling Rd, Perrysburg, OH 43551-9627 | 2013-09-23 |
| 1518223155 | Andrea Lynn Chandler | Licensed Practical Nurse | 25117 Ella St, Perrysburg, OH 43551-9684 | 2012-04-09 |
| 1619266707 | Garrett Evan Cox | Licensed Practical Nurse | 501 Arrowhead Dr, Perrysburg, OH 43551-6359 | 2011-03-29 |
| 1326352170 | Joni Moon | Licensed Practical Nurse | 28180 Oregon Rd Lot 836, Perrysburg, OH 43551-6511 | 2010-08-04 |
| 1104067214 | Judith F. Long | Licensed Practical Nurse | 295 Edgewood Dr, Perrysburg, OH 43551-1834 | 2009-03-19 |
| Find all providers in PERRYSBURG | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
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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.