SHANE D MOORE III (NPI# 1639333669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639333669 |
| Entity Type | Individual |
| Full Name | SHANE D MOORE III |
| Practice Address |
5707 N 22nd St Tampa FL 33610-4350 |
| Practice Telephone | 8132722878 |
| Practice Fax Number | 8132723766 |
| Mailing Telephone | 8132722878 |
| Mailing Fax Number | 8132723766 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417426529 | Shane Moore | Nurse Practitioner | 7030 New Sanger Ave Ste 204, Waco, TX 76712-4074 | 2018-11-19 |
| 1982224796 | Shane Edward Moore | Student in an Organized Health Care Education/Training Program | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-04-22 |
| 1518230747 | Shane Moore | Pharmacist | 2155 Lancaster Dr Ne, Salem, OR 97305-1228 | 2012-02-19 |
| 1538233622 | Shane L Moore | Dentist | 2455 W Interstate 40, Amarillo, TX 79109-1852 | 2006-11-20 |
| Street Address |
5707 N 22ND ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629032073 | Stephanie Lockett | Psychiatry & Neurology | 5707 N 22nd St, Tampa, FL 33610-4350 | 2006-04-13 |
| 1861093759 | Alma Escalona | Registered Nurse | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-11-05 |
| 1003414863 | Beatriz Alvarez | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-10-14 |
| 1891393583 | Ada Rodriguez | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-10-14 |
| 1225643539 | Daris Nichole Rodriguez Zurinaga | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-09-14 |
| 1861014029 | Marcia Montel Nicholls | Licensed Practical Nurse | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-05-11 |
| 1376170167 | Erin E Evans | Counselor | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-03-24 |
| 1003440017 | Margaret Alejandro Rivera | Community Health Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-02-28 |
| 1003449190 | Rossmery Villavicencio | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-02-17 |
| 1932739133 | Jennifer Lizaire | Counselor | 5707 N 22nd St, Tampa, FL 33610-4350 | 2020-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178059 | Sherry Thi Hughes | Social Worker | 419 N Pierce St Ste 107, Tampa, FL 33602-4022 | 2020-09-11 |
| 1467062109 | Vaniece Johnson | Social Worker | 12421 N Florida Ave Ste 210b, Tampa, FL 33612-4277 | 2020-08-07 |
| 1508489915 | Courtney Gowen | Social Worker | 5331 Primrose Lake Cir Ste 209, Tampa, FL 33647-3751 | 2020-05-20 |
| 1023662749 | Yohana Botero | Social Worker | 6620 North Nebraska Ave, Tampa, FL 33604 | 2019-07-31 |
| 1073165551 | Tameka Oneal | Social Worker | 610 W Waters Ave Ste B&c, Tampa, FL 33604-2951 | 2019-07-15 |
| 1689149767 | Anamarie Antonetty | Social Worker | 7111 N 9th St, Tampa, FL 33604-5043 | 2018-10-04 |
| 1184101289 | Courtney Barton | Social Worker | 13101 N. Bruce B. Downs Blvd., Tampa, FL 33612 | 2018-07-23 |
| 1912404500 | Samantha Rhea Hagan | Social Worker | 10500-university Center Dr. Ste 215, Tampa, FL 33612-6490 | 2018-04-10 |
| 1760981658 | Kathleen Marie Murray | Social Worker | 5055 S Dale Mabry Hwy Apt 323, Tampa, FL 33611-3548 | 2018-02-06 |
| 1528566379 | Madelaine Pimentel Del Sol | Social Worker | 6033 Bayside Key Dr, Tampa, FL 33615-4284 | 2018-01-26 |
| Find all providers in TAMPA | ||||
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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.