NICOLE M MOORE (NPI# 1700149101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700149101 |
| Entity Type | Individual |
| Full Name | NICOLE M MOORE |
| Credential | NP |
| Practice Address |
2630 Grant Line Rd New Albany IN 47150-4053 |
| Practice Telephone | 8129450145 |
| Practice Fax Number | 8129495422 |
| Mailing Telephone | 8129450145 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2018-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
28174888A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235795618 | Nicole Susan Moore | Marriage & Family Therapist | 2716 Wilshire Blvd, Santa Monica, CA 90403-4706 | 2019-05-11 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1578004867 | Nicole Moore | Counselor | 821 Delaware Ave Sw, Unit A, Washington, DC 20024-4207 | 2017-03-20 |
| 1659826766 | Nicole E. Moore | Counselor | 12307 Elk Meadow Dr, Stafford, TX 77477-2297 | 2016-08-18 |
| 1477946986 | Nicole Moore | Registered Nurse | 2063 Buchtel St, Twinsburg, OH 44087-2052 | 2015-03-07 |
| 1750788188 | Nicole Moore | Nurse Practitioner | 22 S Greene St Ste S10b00, Baltimore, MD 21201-1544 | 2014-12-01 |
| 1164828950 | Nicole Moore | Social Worker | 18831 E 58th Ave, Unit C, Denver, CO 80249-8353 | 2014-11-06 |
| 1023393832 | Nicole Moore | Pharmacist | 1008 Summit Blvd, Frisco, CO 80443 | 2011-10-13 |
| 1164726097 | Nicole Moore | Social Worker | 123 E Century Blvd, Los Angeles, CA 90003-4709 | 2011-01-06 |
| 1326292335 | Nicole E Moore | Speech-Language Pathologist | 10 Reid Ln, Millstone Township, NJ 08535-8142 | 2008-11-05 |
| Street Address |
2630 GRANT LINE RD |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-4053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955667 | David Michael Dresner | Internal Medicine | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2005-07-12 |
| 1073143301 | Allison C Eberle | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2020-01-26 |
| 1063056539 | Rachel Elizabeth Gould | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2019-10-29 |
| 1871950220 | Alyssa D Wells | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2016-01-15 |
| 1164802682 | Jessica Lea Lewis | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2015-06-01 |
| 1982037073 | Lauren M Eurton | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2013-08-13 |
| 1982963872 | Gastroenterology Health Partners, Pllc | Internal Medicine | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2012-05-11 |
| 1396023453 | Donna Ann Moss | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2011-07-23 |
| 1063703007 | Jonathan Obert | Internal Medicine | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2011-04-25 |
| 1750524773 | James P Rizzo | Pathology | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2009-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574983 | Megan Danielle Abel | Nurse Practitioner | 3602 Northgate Ct Ste 39, New Albany, IN 47150-6417 | 2015-12-19 |
| 1659309490 | Susan Oskins | Nurse Practitioner | 68 North High Street, Bldg A Suite 150, New Albany, OH 43054 | 2006-06-29 |
| 1063996254 | Chelsea Z Kellams | Nurse Practitioner | 1850 State St, New Albany, IN 47150-4990 | 2018-09-24 |
| 1720461924 | Kimberly Robertson | Nurse Practitioner | 1724 State St, New Albany, IN 47150 | 2015-07-07 |
| 1982037073 | Lauren M Eurton | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2013-08-13 |
| 1710236989 | Dawn Gillman | Nurse Practitioner | 1850 State St, New Albany, IN 47150-9756 | 2012-09-04 |
| 1215282793 | Jessica Leann Abbott | Nurse Practitioner | 1724 State St, New Albany, IN 47150 | 2012-07-19 |
| 1023343506 | Miranda L Quintana | Nurse Practitioner | 68 N High St, Suite E-105, New Albany, OH 43054-8915 | 2009-10-16 |
| 1568673549 | Julie Heuser Arnp Pllc | Nurse Practitioner | 2113 State St, Ste. 2, New Albany, IN 47150-4961 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348292 | Joshua Thomas Sandifer | Nurse Practitioner | 9030 Cline Ave Ste A, Highland, IN 46322-2204 | 2020-05-22 |
| 1083262992 | Francesca E Udoh | Nurse Practitioner | 51875 Whitestable Ln, South Bend, IN 46637-1371 | 2019-09-04 |
| 1326694027 | Mary Zody | Nurse Practitioner | 8177 N Meridian Rd, Denver, IN 46926-2328 | 2019-08-18 |
| 1851852727 | Carmen Lagaye Bogle | Nurse Practitioner | 1050 W 72nd St, Indianapolis, IN 46260-4037 | 2019-03-25 |
| 1245701556 | Tami Marie Weston | Nurse Practitioner | 7913 E County Road 50 N, Moores Hill, IN 47032-9612 | 2018-12-13 |
| 1932674298 | Hillary E Powell | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 364, Avon, IN 46123-6914 | 2018-10-12 |
| 1861991176 | Kimberly S Houchens | Nurse Practitioner | 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 | 2018-02-02 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1194259879 | Bahtrena Rogers | Nurse Practitioner | 9302 Budd Run Dr, Indianapolis, IN 46250-1322 | 2017-04-19 |
| 1881125854 | Tajuana Davis | Nurse Practitioner | 3253 Autumn Ash Dr, Zionsville, IN 46077-7105 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
Please comment or provide details below to improve the information on NICOLE M MOORE.
| 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.