BRAD E. MOORE (NPI# 1578094207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578094207 |
| Entity Type | Individual |
| Full Name | BRAD E. MOORE |
| Credential | NP |
| Practice Address |
401 Takoma Ave Greeneville TN 37743-4647 |
| Mailing Address |
105 W Stone Dr Suite 6a Kingsport TN 37660-3365 |
| Practice Telephone | 4236393151 |
| Practice Fax Number | 4236360440 |
| Mailing Telephone | 4234087220 |
| Mailing Fax Number | 4234087405 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 194218 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22515 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093057721 | Brad Preston Moore | Anesthesiology | 850 Republican St, Bldg C-4. Box 358047. Graduate Medical Education, Seattle, WA 98109-4725 | 2013-03-20 |
| 1043389810 | Brad B. Moore | Internal Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2006-11-07 |
| Street Address |
401 TAKOMA AVE |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37743-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345342 | Brooks Morelock | Internal Medicine | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2005-06-08 |
| 1154782019 | Takoma Regional Hospital | General Acute Care Hospital | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2016-03-18 |
| 1760852610 | Joan Marie Scott, Mmsc, Rd, Ldn, Cde | Dietitian, Registered | 401 Takoma Ave, Takoma Regional Hospital, Greeneville, TN 37743-4647 | 2015-10-05 |
| 1487022745 | Spencer C. Maden | Registered Nurse | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2015-09-03 |
| 1770950479 | Sarah Chesnut | Nurse Practitioner | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2015-08-28 |
| 1073996948 | Alexandra M Bowling | Family Medicine | 401 Takoma Ave, Greeneville, TN 37743 | 2015-07-09 |
| 1255753810 | Terri Ratcliff | Nurse Practitioner | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2014-01-15 |
| 1740585223 | Greeneville Emergency Physicians Medical Group PC | Emergency Medicine | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2011-01-14 |
| 1235450248 | Isioma Aninyei | Internal Medicine | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2010-06-14 |
| 1023269362 | John David D'lugos | Nurse Practitioner | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2008-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1205264058 | Robert Maddox | Social Worker | 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 | 2013-10-14 |
| 1336574326 | Cathy J Davis | Occupational Therapy Assistant | 910 West Summer Street, Greeneville, TN 37743 | 2013-09-09 |
| 1659614238 | Person Centered Choices, LLC | In Home Supportive Care | 615 W. Main St., Ste. 204, Greeneville, TN 37743 | 2013-04-01 |
| 1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
| 1083971303 | Jessica Allison Mcafee | Registered Nurse | 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 | 2012-04-12 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1215200118 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2495 Buckingham Road, Greeneville, TN 37743 | 2012-02-23 |
| Find all providers in zip 37743 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467084491 | Heather P Shelton | Nurse Practitioner | 1018 Sun Valley Vlg, Greeneville, TN 37745-6548 | 2020-02-07 |
| 1114557550 | Amy L Johnson | Nurse Practitioner | 145 Indian Hills Dr, Greeneville, TN 37745-6316 | 2020-01-24 |
| 1770113136 | Jaime Lee Mcclellan | Nurse Practitioner | 545 Old Newport Hwy, Greeneville, TN 37743-3889 | 2020-01-24 |
| 1558991158 | Christopher Brian Gong | Nurse Practitioner | 1404 Tusculum Blvd Ste 300, Greeneville, TN 37745-4395 | 2020-01-22 |
| 1639637812 | Beverly Ann Mahler | Nurse Practitioner | 125 Hopeville Ave, Greeneville, TN 37745-6312 | 2019-03-07 |
| 1801379078 | Tammy Melissa Solomon | Nurse Practitioner | 204 N Cutler St, Greeneville, TN 37745-3846 | 2018-09-12 |
| 1255853040 | Christina L Birchfield | Nurse Practitioner | 1404 Tusculum Blvd Ste 2300, Greeneville, TN 37745-4329 | 2017-07-13 |
| 1265986400 | Kimberly Patterson | Nurse Practitioner | 809 Redbud Dr, Greeneville, TN 37743-6141 | 2016-08-04 |
| 1275911778 | Kimberly Hoyle | Nurse Practitioner | 1410 Tusculum Blvd Ste 2200, Greeneville, TN 37745-5822 | 2015-05-15 |
| 1902151616 | Haley D. Quillen | Nurse Practitioner | 2055 E Andrew Johnson Hwy Ste 3, Greeneville, TN 37745-4633 | 2012-07-18 |
| Find all providers in GREENEVILLE | ||||
| City | GREENEVILLE |
| Zip Code | 37743 |
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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.