STACY LYNN MOORE (NPI# 1689980641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689980641 |
| Entity Type | Individual |
| Full Name | STACY LYNN MOORE |
| Credential | CRNP |
| Practice Address |
240 Middletown Blvd Suite 205 Langhorne PA 19047-1832 |
| Practice Telephone | 2157522424 |
| Practice Fax Number | 2157501927 |
| Mailing Telephone | 2157522424 |
| Mailing Fax Number | 2157501927 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP010946 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP010946 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164083416 | Stacy Moore | Case Manager/Care Coordinator | 1111 Packard Dr, Akron, OH 44320-3620 | 2019-06-27 |
| 1336537596 | Stacy Moore | Social Worker | 2501 Pittston Rd, Fredericksburg, VA 22408-0261 | 2014-12-22 |
| 1205956430 | Stacy Renee Moore | Specialist/Technologist | 20370 Elm St, Harrah, OK 73045-9110 | 2007-03-30 |
| 1386685121 | Stacy M Moore | Audiologist-Hearing Aid Fitter | 4369 Miller Rd, Flint, MI 48507-1279 | 2006-06-10 |
| 1265071450 | Stacy Lynn Moore | Nurse Practitioner | 317 W Gaines St, Lawrenceburg, TN 38464-3604 | 2020-01-06 |
| 1104461839 | Stacy Moore | Case Manager/Care Coordinator | 1500 Lee St, Alexandria, LA 71301-6234 | 2019-11-18 |
| 1942714159 | Stacy Moore | Community Health Worker | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2017-11-27 |
| 1407136773 | Stacy Cathryn Moore | Nurse Practitioner | 118 Broad St, Dublin, VA 24084-3211 | 2011-08-18 |
| Street Address |
240 MIDDLETOWN BLVD SUITE 205 |
| City | LANGHORNE |
| State | PA |
| Zip Code | 19047-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661706 | Xia Wang | Physical Medicine & Rehabilitation | 240 Middletown Blvd, Suite 201, Langhorne, PA 19047-1832 | 2005-07-01 |
| 1568078798 | Nirav Patel | Dentist | 240 Middletown Blvd, Langhorne, PA 19047-1832 | 2020-09-22 |
| 1336698869 | Colleen Mary Owens | Nurse Practitioner | 240 Middletown Blvd, Suite 201, Langhorne, PA 19047-1832 | 2016-09-26 |
| 1013327477 | Godwin Plastic Surgery Center LLC | Surgery | 240 Middletown Blvd, Suite 101d, Langhorne, PA 19047-1832 | 2014-05-06 |
| 1649512740 | Langhorne Physician Services | Internal Medicine | 240 Middletown Blvd, Suite 203, Langhorne, PA 19047-1832 | 2013-03-27 |
| 1962744458 | Langhorne Physician Services | Internal Medicine | 240 Middletown Blvd, Suite 201, Langhorne, PA 19047 | 2013-03-22 |
| 1962756809 | Infinity Dental Management LLC | Dentist | 240 Middletown Blvd, Suite 104, Langhorne, PA 19047-1832 | 2012-10-30 |
| 1629321195 | Infinity Dental Management LLC | Dentist | 240 Middletown Blvd, Suite 100, Langhorne, PA 19047-1832 | 2012-10-22 |
| 1154625648 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 240 Middletown Blvd, Langhorne, PA 19047-1832 | 2010-12-27 |
| 1669782447 | Aria Health Physician Services | Physical Medicine & Rehabilitation | 240 Middletown Blvd, Suite 101d, Langhorne, PA 19047-1832 | 2010-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799733 | Traci Anne Lordan | Counselor | 1717 Newtown-langhorne Rd Suite 304, Langhorne, PA 19047 | 2020-10-29 |
| 1407475973 | Midiia Shuman | Student in an Organized Health Care Education/Training Program | 1201 Langhorne Newtown Rd., St. Mary Medical Center, Langhorne, PA 19047 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1487211173 | Avantika Gul Israni | Student in an Organized Health Care Education/Training Program | 1201 Langhorne-newtown Road, St. Mary Medical Center, Langhorne, PA 19047 | 2019-05-29 |
| 1861955155 | Jordesha Mariska Hodge | Student in an Organized Health Care Education/Training Program | 1201 Langhorne - Newton Rd., Langhorne, PA 19047 | 2019-04-12 |
| 1932673456 | Kenneth Nagy | Physical Therapy Assistant | 310 E Winchester Ave, Langhorne, PA 19047 | 2019-01-17 |
| 1104398635 | Woods Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Allgair Cottage, 96 Oakwood Doive, Langhorne, PA 19047 | 2018-12-21 |
| 1356819411 | Mitchell Perry | Physician Assistant | 1203 Newtown-langhorne Rd, #220, Langhorne, PA 19047 | 2018-11-07 |
| 1609353291 | Eye and Facial Plastic Surgery Consultants LLC | Ophthalmology | 1203 Newtown-langhorne Road, Suite 120, Langhorne, PA 19047 | 2018-07-26 |
| 1760969992 | Your Orthodontist | Dentist | 586 Middletown Blvd Ste C10, Langhorne, PA 19047 | 2018-07-20 |
| Find all providers in zip 19047 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184013013 | Shawn Marie Johnson | Nurse Practitioner | 100 N Buckstown Rd Ste E-206, Langhorne, PA 19047-1815 | 2015-01-15 |
| 1497094122 | Ruth C Levine | Nurse Practitioner | 26 Shelton Ln, Langhorne, PA 19047-1190 | 2013-01-31 |
| 1306247788 | Deborah Thompson Carry | Nurse Practitioner | 1205 Langhorne Newtown Rd Ste 403, Langhorne, PA 19047 | 2014-09-04 |
| 1558773200 | Nicole Pape | Nurse Practitioner | Langhorne Newtown Rd, Langhorne, PA 19047-1201 | 2014-05-29 |
| 1750630752 | Melissa Schimpf | Nurse Practitioner | 1205 Langhorne-newtown Road, Suite 210, Langhorne, PA 19047-1219 | 2012-09-05 |
| 1982975728 | Claire Marie Goetz | Nurse Practitioner | 1201 Langhorne Newtown Rd, Langhorne, PA 19047-1201 | 2012-01-25 |
| 1679805709 | Elizabeth Abraham | Nurse Practitioner | 380 Oxford Valley Rd, Langhorne, PA 19047 | 2010-01-29 |
| 1871748582 | Sandra Marie Reichert | Nurse Practitioner | 1205 Langhorne Newtown Rd Ste 403, Langhorne, PA 19047 | 2008-11-21 |
| 1396909305 | Elaine Theresa Robinson | Nurse Practitioner | 1201 Langhorne Newtown Rd, Langhorne, PA 19047-1201 | 2008-07-18 |
| 1710141064 | Colleen Frances Koller | Nurse Practitioner | Langhorne Newtown Rd, Langhorne, PA 19047-1201 | 2008-07-16 |
| Find all providers in LANGHORNE | ||||
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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.