KRISTY SHEREE MOORE (NPI# 1629411814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629411814 |
| Entity Type | Individual |
| Full Name | KRISTY SHEREE MOORE |
| Credential | RDH |
| Practice Address |
2220 Lemp Ave Saint Louis MO 63104-2700 |
| Practice Telephone | 3148148680 |
| Practice Fax Number | 3148148542 |
| Mailing Telephone | 3148148680 |
| Mailing Fax Number | 3148148542 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2011015049 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275903528 | Kristy Lynn Moore | Social Worker | 32 Dallas Stephens Rd, Sandy Hook, KY 41171-8275 | 2015-09-30 |
| 1982624029 | Kristy Dawn Moore | Nurse Practitioner | 1246 S Highway 377 Ste 300, Pilot Point, TX 76258-4331 | 2006-07-20 |
| 1619918869 | Kristy L. Moore | Social Worker | 201 Mulholland St, Bay City, MI 48708-7693 | 2006-06-09 |
| 1922569524 | Kristy Moore | Physical Therapy Assistant | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2019-03-26 |
| 1285905695 | Kristy Lee Moore | Counselor | 1008 7th Ave, Beaver Falls, PA 15010-4530 | 2012-01-17 |
| 1427288034 | Kristy White Moore | Counselor | 7460 Warren Pkwy Ste 100, Frisco, TX 75034-4170 | 2009-07-16 |
| 1841431277 | Kristy Strickland Moore | Nurse Practitioner | 6130 Prestley Mill Rd, Suite B, Douglasville, GA 30134-2288 | 2009-03-15 |
| 1891814703 | Kristy D Moore | Nurse Anesthetist, Certified Registered | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2007-03-29 |
| 1134216476 | Kristy Ladawn Moore | Pharmacist | 8274 Ky Rt 122, Minnie, KY 41651 | 2006-10-06 |
| Street Address |
2220 LEMP AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418382 | Vani Pachalla | Family Medicine | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2005-06-22 |
| 1235794793 | Julia Tuberty Kiehl | Social Worker | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2019-05-09 |
| 1174024350 | Latania Hudson | Registered Nurse | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2018-02-23 |
| 1114466240 | Alexis Howell | Pharmacist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2017-02-22 |
| 1427407972 | Kimberly Ann Henry | Nurse Practitioner | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2016-06-06 |
| 1144674441 | Michelle Mullin | Nurse Practitioner | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2016-04-22 |
| 1639595069 | Stephanie Miller | Nurse Practitioner | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2014-03-10 |
| 1669710091 | Bindu Wagle | Pediatrics | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2013-01-18 |
| 1245582667 | Patricia W Gregg | Dental Hygienist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2012-10-09 |
| 1295068757 | Grace Hill Neighborhood Health Ctr | Local Education Agency (LEA) | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2009-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013104736 | Lawrence Gaydos | Dental Hygienist | 12101 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 | 2007-09-26 |
| 1447379151 | Guadalupe Orozco | Dental Hygienist | 100 N Tucker Blvd, Suite 1100, Saint Louis, MO 63101-1931 | 2007-03-27 |
| 1891811790 | Jody Giardina Gates | Dental Hygienist | 111 South Meramec Avenue, Saint Louis, MO 63105-1711 | 2007-03-22 |
| 1487270906 | Michelle Lynn Crandell | Dental Hygienist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2020-06-20 |
| 1629691233 | Lavada Dolores James | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-05-19 |
| 1154839934 | Marshay Marie Marshall | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2018-01-16 |
| 1548773484 | Shuron C Bell | Dental Hygienist | 1500 Park Ave, Saint Louis, MO 63104-3024 | 2017-11-14 |
| 1245741784 | Amy R Adams | Dental Hygienist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-10-23 |
| 1336674266 | Nicole Stover | Dental Hygienist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2017-04-28 |
| 1114460847 | Alicia Mrazik | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2016-11-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
Please comment or provide details below to improve the information on KRISTY SHEREE 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.