MR. GASTON A MOORE JR. (NPI# 1760717797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760717797 |
| Entity Type | Individual |
| Full Name | MR. GASTON A MOORE JR. |
| Credential | LPN |
| Practice Address |
1702 W Tuckey Ln Phoenix AZ 85015-1715 |
| Practice Telephone | 6025185910 |
| Mailing Telephone | 6025185910 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | LP039366 | AZ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LPN | LP039366 | 01 |
| Street Address |
1702 W TUCKEY LN |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346794054 | Barbara Householder | Licensed Vocational Nurse | 6824 S 37th Gln, Phoenix, AZ 85041-6172 | 2016-08-10 |
| 1053786459 | Gwyndolen Smith | Licensed Vocational Nurse | 711 E Missouri Ave Ste 100, Phoenix, AZ 85014-2811 | 2015-12-10 |
| 1326281213 | Lori Ann Passineau | Licensed Vocational Nurse | 13223 N 20th St Apt 4, Phoenix, AZ 85022-8010 | 2009-04-08 |
| 1730659780 | Bethaney Daniel | Licensed Vocational Nurse | 4745 N 7th St Ste 432, Phoenix, AZ 85014-3665 | 2018-12-03 |
| 1336529718 | Janine E Harris | Licensed Vocational Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2015-06-01 |
| 1003167016 | Amber M Booth | Licensed Vocational Nurse | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2012-10-01 |
| 1881984060 | Frances Michelle Sease | Licensed Vocational Nurse | 711 E Missouri Ave, Phoenix, AZ 85014-2841 | 2011-04-08 |
| 1386837912 | Samuela Clark | Licensed Vocational Nurse | 6306 N 7th St, Phoenix, AZ 85014-1549 | 2007-08-27 |
| 1053513580 | Klarinda Mae Hart | Licensed Vocational Nurse | 6308 W Campbell Ave, Phoenix, AZ 85033-2731 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137552 | Ann Marie Elms | Licensed Vocational Nurse | 3150 Starline Dr, Lk Havasu Cty, AZ 86406-5400 | 2020-02-23 |
| 1396194882 | Barclay John Gregson Barclay White | Licensed Vocational Nurse | 6853 E Osborn Rd, Scottsdale, AZ 85251-6211 | 2016-06-06 |
| 1336559350 | Sharon Stueber | Licensed Vocational Nurse | 13641 W Lisbon Ln, Surprise, AZ 85379-8369 | 2014-04-29 |
| 1467888446 | Celina Hernandez Jonguitud | Licensed Vocational Nurse | 3314 S 92nd Dr, Tolleson, AZ 85353-5544 | 2013-09-23 |
| 1699109868 | Debra Theresa Peterson I | Licensed Vocational Nurse | 38454 N Carolina Ave, San Tan Valley, AZ 85140-5835 | 2013-08-23 |
| 1235420993 | Jennifer Lyn Davis | Licensed Vocational Nurse | 1300 South Street, Globe, AZ 85501 | 2011-04-28 |
| 1538466859 | Kristin J Craig | Licensed Vocational Nurse | 19492 N Marble Canyon Ct, Surprise, AZ 85374-5124 | 2011-02-23 |
| 1316582752 | Jovita Wilson | Licensed Vocational Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2019-11-08 |
| 1760998132 | Melissa Hale | Licensed Vocational Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2017-12-21 |
| 1558887752 | Brenda Hull | Licensed Vocational Nurse | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2017-08-18 |
| Find all providers with the same taxonomy | ||||
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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.