BREANNA MOORE (NPI# 1689913907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689913907 |
| Entity Type | Individual |
| Full Name | BREANNA MOORE |
| Credential | RD, CD |
| Practice Address |
13861 Olio Rd Fishers IN 46037-3487 |
| Practice Telephone | 3174159466 |
| Mailing Telephone | 3174159466 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 37002221A | IN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248906 | Breanna Lynn Kimble Moore | Physical Therapist | 16033 Bolsa Chica St, Huntington Beach, CA 92649-2452 | 2020-09-01 |
| 1033721659 | Breanna Moore | Technician | 15946 Mclane Pike, Liberty, WV 25124 | 2020-08-17 |
| 1033567078 | Breanna Moore | Speech-Language Pathologist | 5851 Rural Edge Dr, Roscoe, IL 61073-7994 | 2016-06-01 |
| 1417554684 | Breanna Moore | Pharmacist | 12058 Palmdale Rd, Adelanto, CA 92301-6708 | 2020-10-01 |
| 1386290096 | Breanna Delores Moore | Social Worker | 2007 Wildwood Rd, Picayune, MS 39466-2178 | 2019-08-18 |
| 1992229769 | Breanna Kathleen Moore | Counselor | 2127 14th Ave S, Birmingham, AL 35205-3900 | 2017-08-02 |
| Street Address |
13861 OLIO RD |
| City | FISHERS |
| State | IN |
| Zip Code | 46037-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538118849 | Brett M Mccullough | Internal Medicine | 13861 Olio Rd, Fishers, IN 46037-3487 | 2006-05-06 |
| 1013383397 | Rachel Berglund | Pharmacist | 13861 Olio Rd, Fishers, IN 46037-3487 | 2015-08-20 |
| 1689982803 | Adeshola A Afolabi | Registered Nurse | 13861 Olio Rd, Fishers, IN 46037-3487 | 2010-09-22 |
| 1821325028 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 13861 Olio Rd, Fishers, IN 46037-3487 | 2009-11-09 |
| 1740431576 | Indiana Physician Management-northeast, LLC | Emergency Medicine | 13861 Olio Rd, Fishers, IN 46037-3487 | 2008-10-10 |
| 1528250438 | Nahid Eftekhari Marsden | Obstetrics & Gynecology | 13861 Olio Rd, Fishers, IN 46037-3487 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994200 | Lake Meadows Licensee LLC | Assisted Living Facility | 11570 E 126th Street, Fishers, IN 46037 | 2020-05-18 |
| 1861059818 | Fishers Specialty Surgery Center, LLC | Clinic/Center | 14300 E 138th St, Fishers, IN 46037 | 2019-05-24 |
| 1033776604 | Diane M Gianfagna-meils | Reflexologist | 9117 Thoreau Court, Fishers, IN 46037 | 2019-05-20 |
| 1649796830 | Heartland Medical, LLC | Durable Medical Equipment & Medical Supplies | 12289 Harvest Glen Blvd, Fishers, IN 46037 | 2017-08-18 |
| 1578098703 | Galaxy Healthcare Services LLC | Home Health | 12262 Steepleview Ct, Fishers, IN 46037 | 2017-04-25 |
| 1386980472 | Brenda Lynn Thompson | Counselor | 8880 Jaywick Dr Apt 206, Fishers, IN 46037 | 2012-12-18 |
| 1972887941 | Molly E Bruvold | Pharmacist | 13741 East 116th Street, Fishers, IN 46037 | 2011-10-07 |
| 1588970867 | Marie C. Holt, Dds | Dentist | 7862 E. 96th St., Fishers, IN 46037 | 2010-08-25 |
| 1114157815 | Francis Edward Mcaree Jr. | Obstetrics & Gynecology | 10907 300 Yd. Dr, Fishers, IN 46037 | 2009-07-16 |
| 1740433820 | Robert Gerald Klitzman | Orthopaedic Surgery | 13100 E. 136th St., Suite 2000, Fishers, IN 46037 | 2008-11-03 |
| Find all providers in zip 46037 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533445 | Barissa Larson | Dietitian, Registered | 12192 Hoosier Rd, Fishers, IN 46037-9419 | 2020-09-22 |
| 1427686377 | Sabrina Danielle Goshen | Dietitian, Registered | 421 S Sunblest Blvd, Fishers, IN 46038-1390 | 2020-03-27 |
| 1285270967 | Hannah Parker | Dietitian, Registered | 8800 North St Apt 449, Fishers, IN 46038-0090 | 2019-11-18 |
| 1447705496 | Kelli Szymanski | Dietitian, Registered | 12786 Elmfair Ct, Fishers, IN 46037-9020 | 2016-08-19 |
| 1609207992 | Greta K Mckenzie | Dietitian, Registered | 13848 Dearborn Cir, Suite 100, Fishers, IN 46038-7470 | 2013-12-11 |
| 1235478827 | Leslie E Muse | Dietitian, Registered | 14871 Harvest Knoll Ct, Fishers, IN 46037-8303 | 2013-02-03 |
| 1013044163 | Jill Allen Koeske | Dietitian, Registered | 8957 Wooster Ct, Fishers, IN 46038-4513 | 2007-02-27 |
| 1386701456 | Trina Eastin | Dietitian, Registered | 11979 Sloane Muse, Fishers, IN 46037-4158 | 2007-01-01 |
| 1316423718 | Brittany Miller | Dietitian, Registered | 14036 Britton Park Rd, Fishers, IN 46038-4463 | 2018-07-18 |
| 1518443167 | Jane Gooder | Dietitian, Registered | 10405 Fox Run Ct, Fishers, IN 46037-9257 | 2018-07-17 |
| Find all providers in FISHERS | ||||
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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.