CHARLENE BETH MOORE (NPI# 1588164784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588164784 |
| Entity Type | Individual |
| Full Name | CHARLENE BETH MOORE |
| Other Name | CHARLENE BETH BLOODWORTH |
| Credential | NP |
| Practice Address |
1 Phipps Lane Paris IL 61944 |
| Practice Telephone | 2174634340 |
| Practice Fax Number | 2174634342 |
| Mailing Telephone | 2174634340 |
| Mailing Fax Number | 2174634342 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71007807A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1606 N 7th St, Terre Haute, IN 478042706 | 8122387000 | 8122384508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639325376 | Charlene K Moore | Physician Assistant | 1325 36th St Ste A, Vero Beach, FL 32960-6599 | 2008-08-13 |
| 1043542392 | Charlene Maria Moore | Case Manager/Care Coordinator | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2010-02-10 |
| 1730253642 | Charlene A. Moore X | Clinical Neuropsychologist | 140 Elm St, Wyandotte, MI 48192-5960 | 2006-11-20 |
| Street Address |
1 PHIPPS LANE |
| City | PARIS |
| State | IL |
| Zip Code | 61944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760546782 | Hospital & Medical Foundation of Paris Inc | Family Medicine | 1 Phipps Lane, Paris, IL 61944 | 2006-12-21 |
| 1649756875 | Paige D. Wampler | Nurse Practitioner | 1 Phipps Lane, Paris, IL 61944-2460 | 2018-07-11 |
| 1922594431 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 1 Phipps Lane, Paris, IL 61944-2966 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653140 | Cynthia Elaine Barbee | Speech-Language Pathologist | 300 East Wood Street, Paris, IL 61944 | 2018-09-20 |
| 1093853855 | Marilyn Marks Frey | Clinical Neuropsychologist | 723 E Court St, Paris, IL 61944 | 2007-02-02 |
| 1063586550 | Robert Ellsworth Sprague | Dentist | 110 Sheriff St, Paris, IL 61944 | 2006-11-17 |
| 1629152244 | Elaine Rachelle Good | Speech-Language Pathologist | 12443 E 1000th Rd, Paris, IL 61944 | 2006-10-24 |
| 1205883428 | Human Resources Center of Edgar and Clark Counties | Day Training, Developmentally Disabled Services | 118 E Court St, Paris, IL 61944 | 2006-05-31 |
| 1932109121 | Maria C Horvat | Obstetrics & Gynecology | 727 E Court St, Paris, IL 61944 | 2005-07-28 |
| 1942750948 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 727 E Court St, Paris, IL 61944 | 2016-10-13 |
| 1083080899 | Joy Williams | Nurse Practitioner | 727 E Court St, Paris, IL 61944 | 2015-08-16 |
| 1477991297 | Yaniv Cozacov | Surgery | 727 E Court St, Paris, IL 61944 | 2013-06-14 |
| 1578851861 | Casey Lynn Craig | Social Worker | 118 E Court St, Paris, IL 61944 | 2011-07-20 |
| Find all providers in zip 61944 | ||||
| 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 |
|---|---|---|---|---|
| 1447722335 | Suzanne B Mcfadden | Nurse Practitioner | 300 Tyson Ave, Paris, TN 38242-4576 | 2018-12-18 |
| 1679992085 | Kristian Michelle Hill Elliott | Nurse Practitioner | 300 Hospital Cir Ste 103, Paris, TN 38242-4597 | 2014-04-14 |
| 1851303960 | Jennifer Myers | Nurse Practitioner | 24 Clinic Dr Ste A, Paris, KY 40361-2166 | 2006-08-13 |
| 1386614766 | Paris Family Physicians,pa | Nurse Practitioner | 1128 Clarksville St, Ste. 100, Paris, TX 75460-6060 | 2006-01-26 |
| 1093349987 | Kelly Rene' Merritt | Nurse Practitioner | 3435 Ne Loop 286, Paris, TX 75460-5002 | 2020-02-28 |
| 1578124913 | Tabitha Wood | Nurse Practitioner | 727 E Court St, Paris, IL 61944-2460 | 2019-06-26 |
| 1962066688 | Tanganyika Lynn Dudley | Nurse Practitioner | 635 Stone Ave, Paris, TX 75460-9342 | 2019-04-29 |
| 1548749245 | Kelly Don Whaley | Nurse Practitioner | 5220 Se Loop 286, Paris, TX 75460 | 2018-08-13 |
| 1477063006 | Diakhomba Diaby | Nurse Practitioner | 1800 Farm Road 195, Paris, TX 75462-2806 | 2017-10-10 |
| 1083080899 | Joy Williams | Nurse Practitioner | 727 E Court St, Paris, IL 61944 | 2015-08-16 |
| Find all providers in PARIS | ||||
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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.