DEIDRE MOORE (NPI# 1548793516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548793516 |
| Entity Type | Individual |
| Full Name | DEIDRE MOORE |
| Practice Address |
349 Nw 14th St Mcminnville OR 97128-2901 |
| Practice Telephone | 9712418256 |
| Mailing Telephone | 9712418256 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205049152 | Deidre Ann Moore | Speech-Language Pathologist | 1060 E 86th St, Suite 65c, Indianapolis, IN 46240-1863 | 2007-05-08 |
| Street Address |
349 NW 14TH ST |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553700 | Michelle Lynn Cradit | Peer Specialist | 640 Ne 3rd St, Mcminnville, OR 97128-4630 | 2019-11-18 |
| 1518528736 | Jonathan Lowell Malott | Peer Specialist | 216 Ne 10th St, Mcminnville, OR 97128-4826 | 2019-06-27 |
| 1487122552 | Tami Putzier | Peer Specialist | 213 Ne 10th St, Mcminnville, OR 97128-4825 | 2018-11-07 |
| 1225575046 | Andrea Marie Simkins | Peer Specialist | 1300 Nw Adams St Ste B, Mcminnville, OR 97128-3550 | 2017-01-31 |
| 1154772432 | Shawna Pilcher | Peer Specialist | 430 Nw 21st St, Mcminnville, OR 97128-2524 | 2016-06-28 |
| 1114307519 | Virginia Marie Rake | Peer Specialist | 819 Ne 3rd St, Mcminnville, OR 97128-4433 | 2015-06-02 |
| 1184818411 | Joel Brian Friedrich | Peer Specialist | 625 Ne Galloway St, Mcminnville, OR 97128-3933 | 2007-08-29 |
| 1174120638 | Zack Mccallie | Peer Specialist | 213 Ne 10th St, Mcminnville, OR 97128-4825 | 2020-10-07 |
| 1639787948 | Deanna Michele Minchue | Peer Specialist | 213 Ne 10th St, Mcminnville, OR 97128-4825 | 2020-07-22 |
| 1013531300 | Margo Mae Guajardo | Peer Specialist | 213 Ne 10th St, Mcminnville, OR 97128 | 2020-06-02 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on DEIDRE MOORE.
| 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.