MS. JENNIFER MARIE MOORE (NPI# 1588623367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588623367 |
Entity Type | Individual |
Full Name | MS. JENNIFER MARIE MOORE |
Credential | PA |
Practice Address |
445 Hocutt Farm Dr Clayton NC 27527-3751 |
Practice Telephone | 5858020731 |
Enumeration Date | 2006-03-21 |
Last Update Date | 2016-05-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 001002915 | NC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | 010268-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | RR MEDICARE PIN | P00204701 | 01 |
NY | 02670611 | 05 | |
NY | RR MEDICARE GROUP | CC8362 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
1790332104 | Jennifer Dawn Moore | Technician | 3154 Jackson Bridge Rd, Carnesville, GA 30521-4126 | 2019-08-20 |
1427522192 | Jennifer G Moore | Speech-Language Pathologist | 2500 Cherry Ln, Northbrook, IL 60062-4414 | 2019-01-16 |
1548735632 | Jennifer Moore | Counselor | 11706 W Chenango Dr Apt 3, Morrison, CO 80465-2020 | 2018-10-04 |
1295218667 | Jennifer Elaine Moore | Registered Nurse | 185 Vz Cr 2103, Canton, TX 75103 | 2018-09-12 |
1942788104 | Jennifer Heine Moore | Licensed Vocational Nurse | 315 S Grand Saline St, Canton, TX 75103-1355 | 2018-07-31 |
1134639636 | Jennifer A Moore | Psychologist | 310 S Walnut Bend Rd Ste 2, Cordova, TN 38018-7282 | 2017-10-10 |
1346778214 | Jennifer Moore | Counselor | 348 Prior Ave N Ste 205, Saint Paul, MN 55104-5591 | 2017-05-23 |
1194263665 | Jennifer Moore | Occupational Therapist | 6540 Havens Corners Rd, Blacklick, OH 43004-8415 | 2017-02-06 |
1790237329 | Jennifer Moore | Student in an Organized Health Care Education/Training Program | 281 Winter St Ste 240, Waltham, MA 02451-8713 | 2016-10-31 |
Street Address |
445 HOCUTT FARM DR |
City | CLAYTON |
State | NC |
Zip Code | 27527-3751 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538779590 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 24 Publix Drive, Clayton, NC 27527 | 2020-08-05 |
1740603661 | Early Speech Services. | Speech-Language Pathologist | 68 Bent Creek Court, Clayton, NC 27527 | 2014-01-29 |
1538591722 | Harris Teeter, LLC. | Pharmacy | 67 Flowers Crossroads Way, Clayton, NC 27527 | 2013-07-30 |
1407104284 | Realo Discount Drug Stores of Eastern North Carolina Inc | Durable Medical Equipment & Medical Supplies | 322 Pritchard Rd, Clayton, NC 27527 | 2012-08-27 |
1760768832 | American Vets Mobility & Equipment Corp. | Durable Medical Equipment & Medical Supplies | 180 Millstone Dr, Clayton, NC 27527 | 2011-11-02 |
1407138894 | Laura Beth Conn | Counselor | 18 Edinburgh Pl, Clayton, NC 27527 | 2011-09-13 |
1114153780 | Allegiance Community Care LLC | Community/Behavioral Health | 34 Orleander Dr., Clayton, NC 27527 | 2009-06-09 |
1861696239 | Belinda Post Mcferren | Psychologist | 753 Riverwood Dr, Clayton, NC 27527 | 2007-06-12 |
1194801852 | Riccobene Flowers | Dentist | 31 Oleander Drive, Clayton, NC 27527 | 2006-10-27 |
1265490361 | Leslie Ann Theys | Speech-Language Pathologist | 68 Bent Creek Ct, Clayton, NC 27527 | 2006-05-01 |
Find all providers in zip 27527 |
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 |
---|---|---|---|---|
1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
1114483641 | Lindsey Diana Barrett | Physician Assistant | 2138 Nc Highway 42 W, Clayton, NC 27520-5300 | 2019-02-20 |
1558834051 | Jonathan Echeverria | Physician Assistant | 761 Slate Top Rd, Clayton, NC 27520-5984 | 2019-01-07 |
1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
1356851869 | Alexandra Kane Hom | Physician Assistant | 41 Mountaire Pl, Clayton, CA 94517-1524 | 2017-10-10 |
1578841334 | Megan Wester | Physician Assistant | 236 Butternut Ln, Clayton, NC 27520-5857 | 2011-07-28 |
1376698688 | Carrie Leigh Knaus | Physician Assistant | 2076 Hwy. 42 West, Clayton, NC 27520-5302 | 2007-01-24 |
1891726972 | Heather Linnea Lesieur | Physician Assistant | 5439 Clayton Rd Ste B, Clayton, CA 94517-1076 | 2006-07-06 |
1114905395 | Jason Macdonald Coggins | Physician Assistant | 2076 Hwy 42 W, Clayton, NC 27520-5302 | 2006-01-06 |
Find all providers in CLAYTON |
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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.