SHAYNTELLE KIYOKO MOORE (NPI# 1760881411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760881411 |
| Entity Type | Individual |
| Full Name | SHAYNTELLE KIYOKO MOORE |
| Credential | CRNP-PC |
| Practice Address |
3300 Gaither Rd Baltimore MD 21244-2916 |
| Practice Telephone | 4109222100 |
| Mailing Telephone | 4109222100 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R206431 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3300 GAITHER RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21244-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134310691 | Board of Child Care | Counselor | 3300 Gaither Rd, Baltimore, MD 21244-2916 | 2007-08-08 |
| 1437353513 | Board of Childcare of The United Methodist Church Inc | Community/Behavioral Health | 3300 Gaither Rd, Baltimore, MD 21244-2916 | 2007-06-13 |
| 1386735256 | Susan Gayle Larson | Psychiatry & Neurology | 3300 Gaither Rd, Baltimore, MD 21244-2916 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420282 | Mary Claire Perry | Nurse Practitioner | 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 | 2020-09-03 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1306378120 | Teddi Roseman | Nurse Practitioner | 22 S Greene St Rm N5e16, Baltimore, MD 21201-1544 | 2017-03-30 |
| 1295280873 | Sarah Schlotterbeck Perl | Nurse Practitioner | 6711 Evanston Rd, Baltimore, MD 21209-3865 | 2016-08-24 |
| 1710333448 | Rachel Levy | Nurse Practitioner | 7010 Wallis Ave, Baltimore, MD 21215-1711 | 2016-05-12 |
| 1427425875 | Bernadette Russell | Nurse Practitioner | 1213 Harbor Island Walk, Baltimore, MD 21230-5461 | 2015-09-01 |
| 1750766879 | Laura Gertz | Nurse Practitioner | 1400 Orleans St, Baltimore, MD 21231-1021 | 2015-07-30 |
| 1336520402 | Clifton Peter Thornton | Nurse Practitioner | 1800 Orleans St Rm 11356, Baltimore, MD 21287-0010 | 2015-06-15 |
| 1295131332 | Erin Sherman | Nurse Practitioner | 306 Murdock Rd, Baltimore, MD 21212-1825 | 2014-11-18 |
| Find all providers in BALTIMORE | ||||
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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.