SHARDELL ELYN MOORE (NPI# 1700328960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700328960 |
| Entity Type | Individual |
| Full Name | SHARDELL ELYN MOORE |
| Credential | NP |
| Practice Address |
1601 Chestnut St Philadelphia PA 19192-0003 |
| Mailing Address |
150 Presidential Way 3rd Floor Woburn MA 01801-1100 |
| Practice Telephone | 1800919910 |
| Mailing Telephone | 1800919910 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP016238 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1601 CHESTNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19192-0003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053566588 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 1601 Chestnut St, Tl04b, Philadelphia, PA 19192-0003 | 2008-11-25 |
| 1033542527 | Christina Stasiuk | Internal Medicine | 1601 Chestnut St, 2 Liberty Place Tl08f, Philadelphia, PA 19192-0003 | 2013-08-20 |
| 1740541713 | Eileen A Sytnyk | Nurse Practitioner | 1601 Chestnut St, Tl04b, Philadelphia, PA 19192-0003 | 2012-06-06 |
| 1265674592 | Bravo Health Advanced Care Center, P.C. | Family Medicine | 1601 Chestnut St, Philadelphia, PA 19192-4071 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003855008 | Barton G Margoshes | Internal Medicine | Cigna, 1601 Chestnut St. Tl 24d, Philadelphia, PA 19192-0001 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942007 | Mpath Assistive Care LLC. | Homemaker | 243 E Walnut Park Dr, Philadelphia, PA 19120-1038 | 2020-11-07 |
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1679174585 | Reputable Solutions Homecare LLC | Home Health | 1005 E Price St, Philadelphia, PA 19138-1806 | 2020-11-06 |
| 1205437233 | Joseph O Ampong | Registered Nurse | 1037 Magee Ave, Philadelphia, PA 19111-4815 | 2020-11-05 |
| 1649871658 | Yawei Song | Social Worker | 1101 Market St Ste 21000, Philadelphia, PA 19107-2934 | 2020-11-05 |
| 1962003160 | Hearts That Matter Most,llc | Clinic/Center | 1515 E Wadsworth Ave, Philadelphia, PA 19150-1620 | 2020-11-04 |
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649799 | Joined Hands Homecare LLC | Home Health | 3728 Lankenau Rd, Philadelphia, PA 19131-2817 | 2020-11-03 |
| 1225639594 | Williamina Lebaga | Home Health Aide | 4032 Markland St, Philadelphia, PA 19124-5330 | 2020-11-03 |
| Find all providers in PHILADELPHIA | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19192 |
Please comment or provide details below to improve the information on SHARDELL ELYN 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.