MS. KELLEY C MOORE


Address: 101 Bodin Cir, Travis Afb, CA 94535-1809
Phone: 9376682438

MS. KELLEY C MOORE (NPI# 1639165343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639165343
Entity Type Individual
Full Name MS. KELLEY C MOORE
Credential CRNA
Practice Address 101 Bodin Cir
Travis Afb
CA 94535-1809
Practice Telephone 9376682438
Mailing Telephone 9376682438
Enumeration Date 2005-09-27
Last Update Date 2014-11-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 209 AK Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLEY MOORE

NPI Name Taxonomy Address Enumeration
1598958647 Kelley Newman Moore Dentist 1 Orange Ave, Rockledge, FL 32955-2945 2007-08-22
1740326289 Kelley K. Moore Psychiatry & Neurology 4851 Independence St., 70 Executive Center, Wheat Ridge, CO 80033-6715 2007-01-30
1871084335 Kelley Moore Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103-3324 2018-05-21
1417313784 Kelley Nicole Moore Pharmacist 3745 Louisiana Ave S, St Louis Park, MN 55426-4361 2016-01-02
1679823538 Kelley Michelle Moore Case Manager/Care Coordinator 1911 Williams Dr, Oxnard, CA 93036-2612 2012-09-18
1205026531 Kelley Rene Moore Case Manager/Care Coordinator 4425 Jefferson Ave, Suite 106, Texarkana, AR 71854-1535 2007-08-01

Office Location

Street Address 101 BODIN CIR
City TRAVIS AFB
State CA
Zip Code 94535-1809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801893276 Charles A Tujo Radiology 101 Bodin Cir, Travis Afb, CA 94535-1809 2005-06-30
1538769351 Chelsey Violet Pelkey Military Health Care Provider 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-10-30
1538768114 Jordan Rose Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-10-23
1821606591 Madelyn Hale Military Health Care Provider 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-07-20
1932727856 Julie Thein Audiologist 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-07-07
1063039501 Shae Daniel Bryant Dentist 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-07-01
1598381089 Aaron J Surbaugh Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-06-19
1194348466 Amanda Vance Registered Nurse 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-05-21
1427681196 Bradley Burkey Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-02-20
1821629288 Gloria Calvillo Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Travis Afb, CA 94535-1809 2020-02-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487711 Sheila C Flood Student in an Organized Health Care Education/Training Program 101 Biden Circle, Fairfield, CA 94535 2020-04-28
1568081255 Miguel Julian Moreno Student in an Organized Health Care Education/Training Program 690 Airmen Drive, Travis Afb, CA 94535 2020-04-13
1174096101 Zlatoslava Karga Nurse Practitioner 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 2019-01-02
1437648292 Luke C Vera Dentist David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 2018-05-08
1588163430 Sanaz Ziad Pharmacist 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 2018-02-06
1194265686 Geoffrey Johnston Dentist 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 2017-03-02
1336693407 Hannah Isla Nordwall Social Worker 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 2016-08-06
1184177149 Taylor Murrie-robinson Social Worker 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 2016-07-26
1952759607 Eric Kincaid-sharp General Practice 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 2016-06-02
1023472040 Genieve Marie Martinez-hernandez Internal Medicine 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 2016-04-06
Find all providers in zip 94535

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548645534 Robert Shaun Revels Nurse Anesthetist, Certified Registered 624 Norton St, Travis Afb, CA 94535-1356 2015-07-20
1457495640 Jade K Barrow Nurse Anesthetist, Certified Registered 60 Mdg/sgcj, 101 Bodin Circle, Travis Afb, CA 94535 2007-02-19
1992358105 Whitney Dorame Nurse Anesthetist, Certified Registered 60 Mdg/sgcj, 101 Bodin Cir, Travis Afb, CA 94535-1800 2019-07-17
1932760006 Katherine L Knott Nurse Anesthetist, Certified Registered 101 Bodin Circle, Travis Afb, CA 94535-1800 2019-06-27
1811406499 Jessica Newcomb Nurse Anesthetist, Certified Registered 101 Bodin Cir, Travis Afb, CA 94535-1809 2017-09-26
1225567191 Laura Jane Ransom Nurse Anesthetist, Certified Registered 101 Bodin Cir, Travis Afb, CA 94535-1809 2017-06-05
1336683747 David J Krasucki Nurse Anesthetist, Certified Registered David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535 2016-12-05
1891242483 Emily Roark Nurse Anesthetist, Certified Registered 101 Bodin Circle, 60 Mdg/sgcj, Travis Afb, CA 94535-1809 2016-09-01
1871948208 Jennifer Fielding Nurse Anesthetist, Certified Registered 60 Mdg, 101 Bodin Cir, Travis Afb, CA 94535 2016-05-04
1649692328 Julie Petsche Nurse Anesthetist, Certified Registered 101 Bodin Cir, Travis Afb, CA 94535 2014-01-14
Find all providers in TRAVIS AFB

Competitor

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City TRAVIS AFB
Zip Code 94535

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Dataset Information

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.

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