MS. FREEDA LOIS MOORE (NPI# 1770507154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770507154 |
Entity Type | Individual |
Full Name | MS. FREEDA LOIS MOORE |
Credential | RN CNS |
Practice Address |
2909 S Hampton Rd Ste E 231 Dallas TX 75224 |
Mailing Address |
Po Box 4278 Dallas TX 75208 |
Practice Telephone | 2149460985 |
Practice Fax Number | 2149460987 |
Mailing Telephone | 2149460985 |
Mailing Fax Number | 2149460987 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
421109 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2909 S HAMPTON RD STE E 231 |
City | DALLAS |
State | TX |
Zip Code | 75224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548264930 | Morris M Prigoff | Podiatrist | 2909 S Hampton Rd, Ste B102, Dallas, TX 75224-3047 | 2005-06-13 |
1609225101 | Jhasmun Crutcher | Nurse Practitioner | 2909 S Hampton Rd, Suite 107, Dallas, TX 75224-3000 | 2016-06-07 |
1467890954 | James E. Race Md Pa | Internal Medicine | 2909 S Hampton Rd, Ste E220, Dallas, TX 75224-3000 | 2013-06-06 |
1942522560 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2909 S Hampton Rd, B-102, Dallas, TX 75224-3000 | 2010-02-23 |
1629309026 | J A Bianco D O P A | Surgery | 2909 S Hampton Rd, Ste C108, Dallas, TX 75224-3000 | 2010-01-25 |
1417128505 | Dallas Institute of Advanced Medicine Inc. | Clinic/Center | 2909 S Hampton Rd, Suite F- 122, Lock Box 29, Dallas, TX 75224-3000 | 2008-03-17 |
1619196276 | Hch Medical Clinic, Inc | Family Medicine | 2909 S Hampton Rd, Ste E123, Dallas, TX 75224-3000 | 2007-04-24 |
1639241953 | William F Stiles | Pediatrics | 2909 S Hampton Rd, Suite C 106 Lock Box 23, Dallas, TX 75224-3000 | 2006-11-14 |
1346310588 | Lamanna Urology Associates | Urology | 2909 S Hampton Rd, Suite 101d, Dallas, TX 75224 | 2006-11-08 |
1528144706 | Samuel C Ngwu | Internal Medicine | 2909 S Hampton Rd, Suite F-122, Dallas, TX 75224-3000 | 2006-10-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
1821523317 | Hao Anh Dang | Dentist | 2221 W Ledbetter Dr Ste 100, Dallas, TX 75224 | 2017-04-22 |
1568820009 | Ashley Nicole Green | Dentist | 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 | 2016-01-28 |
1194138867 | Laurie Smith | Licensed Vocational Nurse | 3622 S Tyler St, Dallas, TX 75224 | 2014-06-10 |
1346667474 | Sherry Diann Flewellen-ervin | Counselor | 501 Wynnwood Village, Dallas, TX 75224 | 2014-03-26 |
1326381880 | Mercy Housecall Physicians Group, LLC | Clinic/Center | 501 Wynnrwood Village, Ste 102a, Dallas, TX 75224 | 2013-04-03 |
1437416971 | Masako Nishio M.d., P.a. | Anesthesiology | 2929 South Hampton Rd, Dallas, TX 75224 | 2012-04-23 |
1306119177 | Truevision Eye Care P.a. | Optometrist | 911 Wynnewood Village, Dallas, TX 75224 | 2012-02-09 |
1639449358 | Access Dental of Illinois Pa | Dentist | 2304 W Illinois Ave, Dallas, TX 75224 | 2012-01-11 |
1659649317 | Shambresha Lanette Sewell | Assisted Living Facility | 3911 Morning Spring Trl, Dallas, TX 75224 | 2011-12-09 |
Find all providers in zip 75224 |
Taxonomy Code | 364SP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851455851 | Janice M Imming-rogers | Clinical Nurse Specialist | 18170 Dallas Pkwy Ste 502, Dallas, TX 75287-7151 | 2006-12-21 |
1841577913 | Meredith Ann Holmes | Clinical Nurse Specialist | 9708 Skillman St, Dallas, TX 75243-5150 | 2011-11-03 |
1538492525 | Patricia L Giarrusso | Clinical Nurse Specialist | 7777 Forest Ln, C 833, Dallas, TX 75230-2505 | 2009-09-09 |
1518064096 | Colleen Rae Mcquaid | Clinical Nurse Specialist | 4500 South Lancaster Road, Dallas, TX 75216 | 2006-09-19 |
1518905157 | Marcia Marlene Monghate | Clinical Nurse Specialist | 8059 Scyene Cir, Dallas, TX 75227-5562 | 2006-06-04 |
1316943509 | Victoria Faust | Clinical Nurse Specialist | 5201 Harry Hines Blvd, Medical Staff Services, Dallas, TX 75235-7708 | 2005-06-22 |
1023014214 | Eugenia Hammett | Clinical Nurse Specialist | 7777 Forest Ln, Ste C833, Dallas, TX 75230-2591 | 2005-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710599204 | Angeline Ngwe Taboh | Clinical Nurse Specialist | 2944 Marco Dr, Grand Prairie, TX 75052-8724 | 2020-08-18 |
1578173738 | Hope Health Services, LLC | Clinical Nurse Specialist | 19902 Roycroft Ln, Richmond, TX 77407-4000 | 2020-08-03 |
1730554999 | C-trilogy Comprehensive Clinical Care | Clinical Nurse Specialist | 104 Rothrock Dr, Suite A, Longview, TX 75602-1528 | 2015-12-14 |
1710384631 | Mental Health Professionals of San Antonio | Clinical Nurse Specialist | 1703 N Loop 1604 W Apt 1203, San Antonio, TX 78258-4679 | 2014-11-20 |
1972937316 | Tricia G. Green | Clinical Nurse Specialist | 907 Kincaid Pl, Longview, TX 75604 | 2013-08-21 |
1801185301 | Horizon Senior Care Inc | Clinical Nurse Specialist | 229 Bradfield Ln, Rockwall, TX 75087-9272 | 2011-04-05 |
1518264696 | Abigail E Lopez | Clinical Nurse Specialist | 4225 Camelot Heights Dr., El Paso, TX 79912-2702 | 2011-02-25 |
1558506675 | Lynn Veronica Heselton | Clinical Nurse Specialist | 203 Lorine St, Keller, TX 76248-3434 | 2008-12-03 |
1851558266 | Alfredo Arellano | Clinical Nurse Specialist | 1122 Montana Ave Ste A, El Paso, TX 79902-5510 | 2008-05-22 |
1881870244 | Steffani L Powell | Clinical Nurse Specialist | 100 Bunny Run Ln, Horseshoe Bay, TX 78657-6188 | 2008-01-16 |
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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.