KPANNAH MOORE (NPI# 1760927255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760927255 |
| Entity Type | Individual |
| Full Name | KPANNAH MOORE |
| Practice Address |
492 Vanderbilt Avenue Staten Island NY 10304 |
| Practice Telephone | 3474097565 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 327659 | NY | Nursing Service Providers |
| Street Address |
492 VANDERBILT AVENUE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| 1174970818 | Danning Wang | Specialist | 86 Burgundy Loop, Staten Island, NY 10304 | 2016-05-23 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical 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. 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 |
|---|---|---|---|---|
| 1801406988 | Fayez Botros | Licensed Practical Nurse | 383 Brookfield Ave, Staten Island, NY 10308-1406 | 2020-08-04 |
| 1225677289 | Mustapha Adekunle Ajose | Licensed Practical Nurse | 861 Forest Ave Apt 2, Staten Island, NY 10310-2439 | 2019-12-22 |
| 1609411909 | Amman Liaqat Mir | Licensed Practical Nurse | 143 York Ave, Staten Island, NY 10301-1358 | 2019-11-10 |
| 1902463011 | Elsie Nilsen | Licensed Practical Nurse | 168b Figurea Ave, Staten Island, NY 10312-3239 | 2019-05-23 |
| 1225693013 | Shireen Abdo | Licensed Practical Nurse | 195 Hope Ave, Staten Island, NY 10305-2920 | 2019-05-07 |
| 1386209252 | Grace Kamara | Licensed Practical Nurse | 844 Richmond Rd, Staten Island, NY 10304-2422 | 2019-05-07 |
| 1871065102 | Yvonne Noruwa | Licensed Practical Nurse | 172 Fillmore St, Staten Island, NY 10301-1229 | 2018-12-27 |
| 1740761626 | Nadine Denis | Licensed Practical Nurse | 1000 Targee St, Staten Island, NY 10304-4452 | 2018-08-28 |
| 1043706385 | Clarice Harris | Licensed Practical Nurse | 190 Egbert Ave, Staten Island, NY 10310-2622 | 2018-07-10 |
| 1154817484 | Ejatu Conteh | Licensed Practical Nurse | 33 Park Hill Cir, Staten Island, NY 10304-3634 | 2018-07-10 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
Please comment or provide details below to improve the information on KPANNAH 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.