KRISTIE MOORE (NPI# 1801290242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801290242 |
| Entity Type | Individual |
| Full Name | KRISTIE MOORE |
| Practice Address |
3 Hidden Creek Dr Guyton GA 31312-4590 |
| Mailing Address |
Po Box 818 Springfield GA 31329-0818 |
| Practice Telephone | 9127728670 |
| Practice Fax Number | 9127541037 |
| Mailing Telephone | 9127540380 |
| Mailing Fax Number | 9127541037 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2018-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN191998 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356631386 | Kristie Moore | Psychologist | 7002 Riverbrook Dr Ste 900a, Sugar Land, TX 77479-6531 | 2011-04-11 |
| 1508382730 | Kristie Moore | Occupational Therapist | 8017 Dogwood Ln, Milan, TN 38358-6805 | 2017-08-18 |
| Street Address |
3 HIDDEN CREEK DR |
| City | GUYTON |
| State | GA |
| Zip Code | 31312-4590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942382429 | Ricky Steven Garland | Physician Assistant | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2006-10-20 |
| 1225458193 | Bailey Elliott Alford | Pediatrics | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2014-04-18 |
| 1871936625 | Effingham Family Medicine At Guyton | Family Medicine | 3 Hidden Creek Dr, Guyton, GA 31312-4592 | 2013-04-11 |
| 1164651022 | Effingham Hospital, Inc. | Clinic/Center | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2009-07-13 |
| 1023242179 | Claude Levon Sanks IIi | Internal Medicine | 3 Hidden Creek Dr, Guyton, GA 31312-4590 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461415 | Sandra Vanorman | Student in an Organized Health Care Education/Training Program | 102 Whirlwind Way, Guyton, GA 31312 | 2020-03-08 |
| 1104916667 | Amy Johnson Jacobs | Pharmacist | #1 Hidden Creek Drive, Guyton, GA 31312 | 2006-10-13 |
| 1942327325 | Plush | Assisted Living Facility | 323 Brogdon Road, Guyton, GA 31312-0425 | 2007-03-23 |
| 1811391436 | Arthur Lee | Pharmacist | 100 Wakefield Dr, Guyton, GA 31312-3947 | 2014-10-09 |
| 1992353361 | Laura Gilman | Technician | 120 Taylor Dr, Guyton, GA 31312-4039 | 2019-08-29 |
| 1689944183 | Michele Lehtma Frost | Speech-Language Pathologist | 329 Flat Bush Dr, Guyton, GA 31312-4528 | 2011-12-31 |
| 1396802609 | H and A Pharmaceutical Services Inc | Durable Medical Equipment & Medical Supplies | 1 Hidden Creek Dr, Guyton, GA 31312-4590 | 2007-01-03 |
| 1659617587 | Positively Plush, LLC | Respite Care | 405 5th Ave, Guyton, GA 31312-4887 | 2012-12-21 |
| 1568525152 | Mary K Schaffer | Speech-Language Pathologist | 108 Warner Dr, Guyton, GA 31312-4905 | 2006-12-18 |
| 1720435944 | Courteney Leigh Rainey | Physical Therapist | 602 Berosa Ct, Guyton, GA 31312-4986 | 2016-05-17 |
| Find all providers in zip 31312 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758465 | Kristin Hill | Nurse Practitioner | 226 Cypress Creek Ln, Guyton, GA 31312-7138 | 2019-06-07 |
| 1124418173 | Soriano Medical Services Inc | Nurse Practitioner | 171 Clover Point Cir, Guyton, GA 31312-7134 | 2015-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
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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.