JENNIFER DAWN MOORE (NPI# 1790332104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790332104 |
| Entity Type | Individual |
| Full Name | JENNIFER DAWN MOORE |
| Practice Address |
3154 Jackson Bridge Rd Carnesville GA 30521-4126 |
| Practice Telephone | 7708614526 |
| Mailing Telephone | 7705469055 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 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 |
| 1790237329 | Jennifer Moore | Student in an Organized Health Care Education/Training Program | 281 Winter St Ste 240, Waltham, MA 02451-8713 | 2016-10-31 |
| 1932578796 | Jennifer Moore | Doula | 4810 Newkirk St, Ladson, SC 29456-4445 | 2015-09-22 |
| Street Address |
3154 JACKSON BRIDGE RD |
| City | CARNESVILLE |
| State | GA |
| Zip Code | 30521-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609273770 | Franklin County Bd of Comm. Hdm | Home Delivered Meals | 141 Athens St., Carnesville, GA 30521 | 2014-12-04 |
| 1245533132 | Ty Cobb Healthcare System, Inc | Specialist | 7850 Royston Rd, Carnesville, GA 30521 | 2010-12-15 |
| 1538221379 | Franklin County Schools | Local Education Agency (LEA) | 280 Busha Road, Carnesville, GA 30521 | 2006-12-15 |
| 1861587271 | Regina Cleveland | Licensed Practical Nurse | 6955 Hwy 145 South, Carnesville, GA 30521 | 2006-10-03 |
| 1033203492 | Angy M. Fowler | Registered Nurse | 6955 Hwy145 South, Carnesville, GA 30521 | 2006-10-02 |
| 1942310800 | Franklin County Ems | Ambulance | 9267 Lavonia Rd, Carnesville, GA 30521 | 2006-08-30 |
| 1730485160 | Laura C Starrett | Nurse Practitioner | 7850 Royston Rd, Carnesville, GA 30521 | 2011-02-02 |
| 1821167859 | Franklin County Board of Health | Public Health or Welfare | 6955 Hwy 145 South, Carnesville, GA 30521 | 2006-11-06 |
| 1760527865 | Suzanne Sullivan | Pharmacist | 9563 Lavonia Rd, Carnesville, GA 30521-0069 | 2007-02-20 |
| 1992797674 | Terry Quinton Beusse | Dentist | 6955 Highway 145 South, Franklin County Health Dept, Carnesville, GA 30521-0546 | 2005-08-18 |
| Find all providers in zip 30521 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214183 | Julia Mcenhill | Technician | 10 Evonshire Dr, Sharpsburg, GA 30277-3266 | 2020-10-28 |
| 1497352884 | Ernestine Atwater | Technician | 1962 Twin Falls Rd, Decatur, GA 30032-6070 | 2020-10-08 |
| 1952916207 | Nitza Chea Bishop | Technician | 151 Chulio Rd Se, Rome, GA 30161-8496 | 2020-09-14 |
| 1174137822 | Nettie Pearl Smith | Technician | 2919 Lonesome Rd, Albany, GA 31721-5644 | 2020-09-01 |
| 1255943478 | David Williams Jr. | Technician | 126 Thompson St, Cusseta, GA 31805-3945 | 2020-08-19 |
| 1750992913 | Phyllis Denise Haynes | Technician | 1111 Glenwood Ln, Bogart, GA 30622-2396 | 2020-08-12 |
| 1306464037 | Vickie Moore | Technician | 1639 Breeds Hill Loop, Columbus, GA 31907-7430 | 2020-07-09 |
| 1275150542 | Quindeic Rhones | Technician | 2556 Miles St, Augusta, GA 30906-5326 | 2020-07-02 |
| 1083231476 | Martha Crawford | Technician | 593 Crawford St Se, Dawson, GA 39842-2041 | 2020-07-01 |
| 1356967350 | Gloria Foster | Technician | 8643 Crenshaw Dr, Grovetown, GA 30813-8322 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | CARNESVILLE |
| Zip Code | 30521 |
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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.