JENNIFER MOORE (NPI# 1790237329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790237329 |
| Entity Type | Individual |
| Full Name | JENNIFER MOORE |
| Practice Address |
281 Winter St Ste 240 Waltham MA 02451-8713 |
| Practice Telephone | 7812904096 |
| Mailing Telephone | 7812904096 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HOME HEALTH AGENCY | 1083644017 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1790332104 | Jennifer Dawn Moore | Technician | 3154 Jackson Bridge Rd, Carnesville, GA 30521-4126 | 2019-08-20 |
| 1427522192 | Jennifer G Moore | Speech-Language Pathologist | 2500 Cherry Ln, Northbrook, IL 60062-4414 | 2019-01-16 |
| 1548735632 | Jennifer Moore | Counselor | 11706 W Chenango Dr Apt 3, Morrison, CO 80465-2020 | 2018-10-04 |
| 1295218667 | Jennifer Elaine Moore | Registered Nurse | 185 Vz Cr 2103, Canton, TX 75103 | 2018-09-12 |
| 1942788104 | Jennifer Heine Moore | Licensed Vocational Nurse | 315 S Grand Saline St, Canton, TX 75103-1355 | 2018-07-31 |
| 1134639636 | Jennifer A Moore | Psychologist | 310 S Walnut Bend Rd Ste 2, Cordova, TN 38018-7282 | 2017-10-10 |
| 1346778214 | Jennifer Moore | Counselor | 348 Prior Ave N Ste 205, Saint Paul, MN 55104-5591 | 2017-05-23 |
| 1194263665 | Jennifer Moore | Occupational Therapist | 6540 Havens Corners Rd, Blacklick, OH 43004-8415 | 2017-02-06 |
| 1932578796 | Jennifer Moore | Doula | 4810 Newkirk St, Ladson, SC 29456-4445 | 2015-09-22 |
| Street Address |
281 WINTER ST STE 240 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-8713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831215 | Allison Lawsky | Student in an Organized Health Care Education/Training Program | 329 Lincoln St Apt 101, Waltham, MA 02451-2187 | 2020-08-12 |
| 1225657182 | Ahmet Tanritanir | Student in an Organized Health Care Education/Training Program | 5209 Stearns Hill Rd, Waltham, MA 02451-7153 | 2020-04-10 |
| 1134781693 | Alexis Iwuchukwu | Student in an Organized Health Care Education/Training Program | 17 Prospect St Apt 6, Waltham, MA 02453-8541 | 2019-07-05 |
| 1265091524 | Kathleen Marie Oppenheim | Student in an Organized Health Care Education/Training Program | 314 Bacon St, Waltham, MA 02451-7515 | 2019-06-11 |
| 1457850646 | Anjusha Thomas | Student in an Organized Health Care Education/Training Program | 82 Princeton Ave, Waltham, MA 02451-3135 | 2018-02-02 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1366608929 | Kerri Trainor | Student in an Organized Health Care Education/Training Program | 19 Trimount Ave, Waltham, MA 02451-3076 | 2008-08-04 |
| 1306459698 | Amanda Salerno | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave, Waltham, MA 02453-3872 | 2020-08-26 |
| 1639782345 | Thienkim Nguyen | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave, Waltham, MA 02453-3872 | 2020-08-24 |
| 1578175030 | Imogene Edson | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave, Waltham, MA 02453-3872 | 2020-08-17 |
| Find all providers in WALTHAM | ||||
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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.