KATHRYN MOORE


Address: 8307 Knotty Pine Ln, Fairfax Station, VA 22039-3226
Phone: 5712636178

KATHRYN MOORE (NPI# 1699307538) 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) 1699307538
Entity Type Individual
Full Name KATHRYN MOORE
Practice Address 8307 Knotty Pine Ln
Fairfax Station
VA 22039-3226
Practice Telephone 5712636178
Mailing Telephone 5712636178
Enumeration Date 2020-02-09
Last Update Date 2020-02-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers KATHRYN MOORE

NPI Name Taxonomy Address Enumeration
1811495500 Kathryn Grage Moore Speech-Language Pathologist 3200 Pointe Pkwy Ste 200, Peachtree Corners, GA 30092-3370 2018-01-27
1215315569 Kathryn Pax Lattimore Moore Psychiatry & Neurology Uf Health Center for Movement Disorder and Restoration, 3450 Hull Rd, Gainesville, FL 32607 2015-05-07
1477989630 Kathryn Mccarter Moore Social Worker 2520 Robinhood St, #1007, Houston, TX 77005-2547 2013-09-19
1750697371 Kathryn Adams Moore Occupational Therapist 2856 San Benito Dr, Walnut Creek, CA 94598-4105 2010-08-19
1841424652 Kathryn Anne Moore Massage Therapist 404 E 26th St, Suite 105, Tacoma, WA 98421-1312 2009-05-07
1003056326 Kathryn Moore Occupational Therapist 282 Widgedon Lndg, Hilton, NY 14468-8942 2009-02-26
1336389980 Kathryn Marie Moore Nurse Practitioner 2349 Crestcliff Dr, Tucker, GA 30084-4206 2009-02-23
1255577730 Kathryn Celeste Moore Durable Medical Equipment & Medical Supplies 602 Sw 17th St, Seminole, TX 79360-4518 2009-01-05
1346302643 Kathryn Griffith Moore Art Therapist 13652 Adams Springs Rd, Cobb, CA 95426-1096 2006-12-14
1609492727 Kathryn Baker Moore Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2020-06-24

Office Location

Street Address 8307 KNOTTY PINE LN
City FAIRFAX STATION
State VA
Zip Code 22039-3226

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114317468 Trinh Tran Pharmacist 9061 Emma Ann Way, Fairfax Station, VA 22039 2015-01-26
1629338975 Stephen Paul Boglarski Dentist 8300 Tabor Lane, Fairfax Station, VA 22039 2012-05-21
1932202181 Christopher Charles Virusky Chiropractor 9015 Silverbrook Road, Suite 105, Fairfax Station, VA 22039 2006-09-06
1366425415 Margaret Montgomer Jones Registered Nurse 8133 Rondelay Ln, Fairfax Station, VA 22039 2005-11-22
1831647239 Fairfax Internal Medicine and Primary Care PC Clinic/Center 5618 Ox Rd, Suite D-2, Fairfax Station, VA 22039 2016-09-14
1750535274 Catherine M. Janus Physical Therapist 5618 Ox Rd, Suite H, Fairfax Station, VA 22039 2008-11-11
1790810547 Ignaz P Jarbadan Md PC Internal Medicine 9015 Silverbrook Road, Ste 106, Fairfax Station, VA 22039 2007-02-22
1548549413 Roy D. Novick Dentist 5616g Ox Rd, Fairfax Station, VA 22039-1018 2011-08-10
1043510639 Jessica May Cantu-lane Physical Therapy Assistant 5618h Ox Rd, Fairfax Station, VA 22039-1018 2010-10-28
1396937553 Larmour Chiropractic, Inc. Chiropractor 5616f Ox Rd, Fairfax Station, VA 22039-1018 2007-08-13
Find all providers in zip 22039

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659836799 Mahtab Mollajafar Student in an Organized Health Care Education/Training Program 8212 Roseland Dr, Fairfax Station, VA 22039-2534 2019-02-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841891520 Frank Chilli Student in an Organized Health Care Education/Training Program 5 Oakland Dr, Newport News, VA 23601-3622 2020-11-08
1386245074 Jason Schatti Student in an Organized Health Care Education/Training Program 1540 Gallery Ave, Virginia Beach, VA 23454-5605 2020-11-08
1407457195 John Cayo Student in an Organized Health Care Education/Training Program 715 Stockley Gdns Apt 1, Norfolk, VA 23507-2025 2020-11-08
1710587712 Shiela Kaye Chua Crisostomo Student in an Organized Health Care Education/Training Program 3916 Gosnold Ave, Norfolk, VA 23508-2916 2020-10-28
1871192500 Caitie Rae Warren Student in an Organized Health Care Education/Training Program 3856 Banyan Grove Ln Apt 102, Virginia Beach, VA 23462-7486 2020-10-23
1487253357 James Joseph Hansler Student in an Organized Health Care Education/Training Program 1795 Saint Andrews Cir, Blacksburg, VA 24060-0252 2020-10-22
1538768726 Katherine Bailey Smith Student in an Organized Health Care Education/Training Program 3535 N Ohio St, Arlington, VA 22207-1337 2020-10-20
1982201760 Jaime Lyn Van Kirk Student in an Organized Health Care Education/Training Program 233 Padgetts Ordinary, Williamsburg, VA 23185-5578 2020-10-05
1548867500 Daniel Bailey Jr. Student in an Organized Health Care Education/Training Program 6211 Gilchrist Ave, Richmond, VA 23231-4723 2020-10-02
1851998041 Leslie-anne Flego Student in an Organized Health Care Education/Training Program 4523 Arendale Sq, Alexandria, VA 22309-1217 2020-10-01
Find all providers with the same taxonomy

Competitor

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City FAIRFAX STATION
Zip Code 22039

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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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