KATIE SCIANNA MOORE (NPI# 1821697210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821697210 |
| Entity Type | Individual |
| Full Name | KATIE SCIANNA MOORE |
| Credential | CPNP-PC |
| Practice Address |
4210 Lincoln Rd Hattiesburg MS 39402-3093 |
| Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6012613500 |
| Practice Fax Number | 6012613583 |
| Mailing Telephone | 6012613500 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
903811 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952816498 | Katie Moore | Speech-Language Pathologist | 28 Bullseye Dr, Troy, IL 62294-2486 | 2017-12-06 |
| 1386052504 | Katie Moore | Nurse Practitioner | 3891 Steeple Chase Ct, Midlothian, TX 76065-4746 | 2014-07-31 |
| 1730226192 | Katie Lea Moore | Occupational Therapist | 13909 Florida Blvd, Livingston, LA 70754 | 2007-02-01 |
| 1508496332 | Katie Moore | Behavior Technician | 12650 E Briarwood Ave, Suite 207, Centennial, CO 80112-6792 | 2020-01-21 |
| 1306311394 | Katie Emily Moore | Counselor | 11910 Ne 154th St, Brush Prairie, WA 98606-9571 | 2018-10-05 |
| 1851876312 | Katie Moore | Psychologist | 7617 Mineral Point Rd Ste 300, Madison, WI 53717-1623 | 2018-10-01 |
| 1790277853 | Katie Denise Moore | Social Worker | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2018-06-05 |
| 1043558661 | Katie Bozeman Moore | Pharmacist | 4290 Bells Ferry Rd Nw, Kennesaw, GA 30144-7140 | 2013-01-17 |
| 1972873958 | Katie Marie Moore | Social Worker | 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 | 2012-01-06 |
| 1700114063 | Katie Linda Moore | Nurse Practitioner | 908 Jefferson St, Seattle, WA 98104-2433 | 2009-11-25 |
| Street Address |
4210 LINCOLN RD |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134239940 | Jeffrey C Williams | Pediatrics | 4210 Lincoln Rd, Hattiesburg, MS 39402 | 2006-08-30 |
| 1437618659 | Savannah Murray | Nurse Practitioner | 4210 Lincoln Rd, Hattiesburg, MS 39402-3093 | 2019-03-18 |
| 1477011161 | Felicia S Stewart | Nurse Practitioner | 4210 Lincoln Rd, Hattiesburg, MS 39402-3093 | 2019-03-12 |
| 1730568692 | Amanda Cesare Whiddon | Nurse Practitioner | 4210 Lincoln Rd, Hattiesburg, MS 39402 | 2015-05-26 |
| 1114331832 | Marla Turner Chapman | Internal Medicine | 4210 Lincoln Rd, Hattiesburg, MS 39402-3093 | 2014-06-20 |
| 1013357433 | Megan Dillon | Pediatrics | 4210 Lincoln Rd, Hattiesburg, MS 39402-3093 | 2013-06-29 |
| 1144517541 | Aprile Claire Gilmore | Pediatrics | 4210 Lincoln Rd, Hattiesburg, MS 39402 | 2011-07-06 |
| 1720216492 | Yakeyla Nave Naylor | Pediatrics | 4210 Lincoln Rd, Hattiesburg, MS 39402 | 2009-07-01 |
| 1730276098 | Hattiesburg Clinic Pa | Pediatrics | 4210 Lincoln Rd, Hattiesburg, MS 39402 | 2006-10-06 |
| 1154436574 | Pamela C Love | Nurse Practitioner | 4210 Lincoln Rd, Hattiesburg, MS 39402 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083964092 | Mariel Hubbard | Nurse Practitioner | 101 Medical Park, Hattiesburg, MS 39401-9042 | 2012-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142943 | Ashley B Chittenden | Nurse Practitioner | 3480 Avis Ln, Southaven, MS 38672-2010 | 2020-10-23 |
| 1437760881 | Elizabeth Smith | Nurse Practitioner | 3631 Bienville Blvd Ste A, Ocean Springs, MS 39564-5702 | 2020-08-10 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1972021608 | Dana Brooke Underwood | Nurse Practitioner | 1300 Access Rd Ste 400, Oxford, MS 38655-5211 | 2017-09-01 |
| 1891233276 | Optimum Healthcare Associates, Pa | Nurse Practitioner | 5350 Executive Pl, Suite 8, Jackson, MS 39206-4100 | 2017-02-06 |
| 1386020113 | Stefanie Taylor Christy | Nurse Practitioner | 3654b New Hope Rd, Columbus, MS 39702-8521 | 2015-08-04 |
| 1861808974 | Ashley Hickman | Nurse Practitioner | 224 S Church St Ste B, Brookhaven, MS 39601-3232 | 2014-07-09 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1962744482 | Kendra Watts | Nurse Practitioner | 1016 Sixth Ave Ste C, Picayune, MS 39466-3861 | 2013-03-22 |
| 1730340563 | Kayti A Powell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2008-06-24 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on KATIE SCIANNA 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.