DR. ELAINE E. MOORMAN (NPI# 1588632210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588632210 |
| Entity Type | Individual |
| Full Name | DR. ELAINE E. MOORMAN |
| Other Name | PROF. ELAINE E MOOMAN |
| Credential | ARNP, DHSC |
| Practice Address |
411 N. Webster Street Wildwood FL 34785 |
| Mailing Address |
32648 Darby Road Dade City FL 33525 |
| Practice Telephone | 3527486689 |
| Practice Fax Number | 3527486381 |
| Mailing Telephone | 3527480283 |
| Mailing Fax Number | 3527480117 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2014-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
728402 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | Y7190 | 01 |
| FL | 300313200 | 05 |
| Street Address |
411 N. WEBSTER STREET |
| City | WILDWOOD |
| State | FL |
| Zip Code | 34785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075889 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5810 Seven Mile Drive, Wildwood, FL 34785 | 2020-02-13 |
| 1477183903 | Central Florida Premier Eye Associates | Optometrist | 5431 East State Road 44, Wildwood, FL 34785 | 2020-01-23 |
| 1174006399 | Village Discount Pharmacy | Pharmacy | 3990 E St 44 Suite 207, E Sr44 Suite 207, Wildwood, FL 34785 | 2018-09-13 |
| 1033582333 | Mls Homemaker/companion Service | In Home Supportive Care | 1406 County Road 228, Wildwood, FL 34785 | 2015-11-09 |
| 1225412604 | Safe Haven Assisted Living Facility, Inc | Respite Care | 2505 East Orange Ave., Eustis, FL 34785 | 2015-07-15 |
| 1477894343 | Kristen Jillene Hopper | Social Worker | 901 Industrial Dr, Wildwood, FL 34785 | 2013-03-02 |
| 1134782501 | German Santiago Herrera Alzate | Physician Assistant | 846 Ne 54th Terrace, Widlwood, FL 34785 | 2019-04-20 |
| 1912492919 | Van Mai Vu | Optometrist | 846 Ne 54th Terrace, Wildwood, FL 34785 | 2018-06-22 |
| 1881720084 | Pedro Arroyo IIi | Surgery | 837 S Main St, Wildwood, FL 34785 | 2007-02-24 |
| 1760672364 | Alfonzo L Jacobs | Military Health Care Provider | 707 Moss St, Wildwood, FL 34785-0932 | 2007-07-30 |
| Find all providers in zip 34785 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588122311 | Meskerm Workiye Asfaw | Nurse Practitioner | 589 Vintage Grove Ct, Wildwood, MO 63038-2314 | 2019-03-11 |
| 1801183397 | Levante Medical LLC | Nurse Practitioner | 112 S Main St, Wildwood, FL 34785-4539 | 2011-07-05 |
| 1447551718 | Barbara Lois Seep | Nurse Practitioner | 2638 Highway 109, Suite 101, Wildwood, MO 63040-1182 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.