MS. SAMANTHA GERMAINE MOORE (NPI# 1760927040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760927040 |
Entity Type | Individual |
Full Name | MS. SAMANTHA GERMAINE MOORE |
Other Name | SAMANTHA GERMAINE JACKSON |
Credential | N.P |
Practice Address |
5450 Clearfork Main St Ste 300 Fort Worth TX 76109-3559 |
Practice Telephone | 8173341400 |
Practice Fax Number | 8173341410 |
Mailing Telephone | 8173341400 |
Enumeration Date | 2016-12-22 |
Last Update Date | 2020-03-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP132837 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
800 5th Ave Ste 300, Fort Worth, TX 761047303 | 8173341400 | 8173341410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457960825 | Samantha Moore | Social Worker | 6543 Las Vegas Blvd S, Las Vegas, NV 89119-3223 | 2020-07-30 |
1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
1972099331 | Samantha Ann Moore | Physical Therapist | 103 N Main St # 201, Greenville, SC 29601-2796 | 2018-07-09 |
1467989103 | Samantha Moore | Counselor | 9428 Brookline Ave Ste 2, Baton Rouge, LA 70809-1428 | 2017-05-12 |
1821541707 | Samantha Moore | Physical Therapist | 23083 Jensen Ct, Grand Terrace, CA 92313-5579 | 2016-07-27 |
1154741106 | Samantha Heuertz Moore | Psychiatry & Neurology | 501 Eastowne Dr Ste 220, Chapel Hill, NC 27514-6224 | 2014-04-17 |
1215281407 | Samantha Darlene Moore | Counselor | 4334 Back St, Kingston, OK 73439-5350 | 2012-11-09 |
1356990667 | Samantha Moore | Behavior Technician | 11935 Mastin St, Overland Park, KS 66213-1629 | 2019-09-09 |
1710539309 | Samantha Moore | Speech-Language Pathologist | 5544 Main St Fl 2, Williamsville, NY 14221-5406 | 2019-07-12 |
1013405356 | Samantha Tyler Moore | Counselor | 2003 Godwin Ave Ste C, Lumberton, NC 28358-3150 | 2018-04-23 |
Street Address |
5450 CLEARFORK MAIN ST STE 300 |
City | FORT WORTH |
State | TX |
Zip Code | 76109-3559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629078290 | James Steven Childers | Internal Medicine | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514 | 2005-07-26 |
1639704539 | Robert A. Martinez | Nurse Practitioner | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514 | 2020-03-11 |
1285149385 | Kelsey Becker Adams | Nurse Practitioner | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514 | 2017-12-11 |
1649708637 | Chera M Smith | Physician Assistant | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514 | 2017-06-02 |
1326587452 | Michelle Blanchard | Nurse Practitioner | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2017-02-22 |
1811447196 | Kathrine Kimberly Beaty | Nurse Practitioner | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2016-10-10 |
1548536279 | Rachel Anne Gonzales | Physician Assistant | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2012-03-27 |
1154568038 | Elizabeth Lee Price | Physician Assistant | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3514 | 2009-01-14 |
1417152000 | Jennifer Thompson Arnouville | Family Medicine | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2007-06-15 |
1023227063 | Samuel V. Davila | Internal Medicine | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2007-05-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
Find all providers in zip 76109 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891310009 | Mercy Ngeusang | Nurse Practitioner | 5440 Tuxbury Pond Dr, Fort Worth, TX 76179-1489 | 2020-06-12 |
1003475682 | Rachel A Oyejide | Nurse Practitioner | 4205 Golden Horn Ln, Fort Worth, TX 76123-2569 | 2019-06-07 |
1457829962 | Nelius Njuguna | Nurse Practitioner | 5204 Bryant Irvin Rd Apt 2119, Fort Worth, TX 76132-3847 | 2018-11-02 |
1215442819 | Samuel Nganga Kamau | Nurse Practitioner | 10008 Channing Rd, Fort Worth, TX 76244-8500 | 2017-12-06 |
1841739018 | Shannon Boodhwani | Nurse Practitioner | 6100 Harris Pkwy Ste 345, Fort Worth, TX 76132-4134 | 2017-02-21 |
1831632306 | Brianna Hawkins | Nurse Practitioner | 10628 Donnis Dr, Fort Worth, TX 76244-6658 | 2016-11-30 |
1518359645 | Barbara Evans | Nurse Practitioner | 1001 12th Ave Ste 130, Fort Worth, TX 76104-3926 | 2015-02-26 |
1942575329 | Mari J. Finley | Nurse Practitioner | 4503 Anglin Cir, Fort Worth, TX 76140-4205 | 2012-03-18 |
1306110366 | Janice Renea Richardson | Nurse Practitioner | 1350 E Lancaster Ave Ste 100, Fort Worth, TX 76102-6671 | 2012-03-07 |
1477154490 | Cassandra Jade Hinojosa | Nurse Practitioner | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2020-11-05 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76109 |
Please comment or provide details below to improve the information on MS. SAMANTHA GERMAINE 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.