MRS. KRISTY STRICKLAND MOORE (NPI# 1841431277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841431277 |
| Entity Type | Individual |
| Full Name | MRS. KRISTY STRICKLAND MOORE |
| Credential | NP-C |
| Practice Address |
6130 Prestley Mill Rd Suite B Douglasville GA 30134-2288 |
| Practice Telephone | 7707715100 |
| Practice Fax Number | 4044461770 |
| Mailing Telephone | 7707715100 |
| Mailing Fax Number | 4044461770 |
| Enumeration Date | 2009-03-15 |
| Last Update Date | 2009-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN167524 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275903528 | Kristy Lynn Moore | Social Worker | 32 Dallas Stephens Rd, Sandy Hook, KY 41171-8275 | 2015-09-30 |
| 1982624029 | Kristy Dawn Moore | Nurse Practitioner | 1246 S Highway 377 Ste 300, Pilot Point, TX 76258-4331 | 2006-07-20 |
| 1619918869 | Kristy L. Moore | Social Worker | 201 Mulholland St, Bay City, MI 48708-7693 | 2006-06-09 |
| 1922569524 | Kristy Moore | Physical Therapy Assistant | 1449 Ygnacio Valley Rd, Walnut Creek, CA 94598-2932 | 2019-03-26 |
| 1629411814 | Kristy Sheree Moore | Dental Hygienist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2013-04-08 |
| 1285905695 | Kristy Lee Moore | Counselor | 1008 7th Ave, Beaver Falls, PA 15010-4530 | 2012-01-17 |
| 1427288034 | Kristy White Moore | Counselor | 7460 Warren Pkwy Ste 100, Frisco, TX 75034-4170 | 2009-07-16 |
| 1891814703 | Kristy D Moore | Nurse Anesthetist, Certified Registered | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2007-03-29 |
| 1134216476 | Kristy Ladawn Moore | Pharmacist | 8274 Ky Rt 122, Minnie, KY 41651 | 2006-10-06 |
| Street Address |
6130 PRESTLEY MILL RD SUITE B |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831150028 | Samuel Delafield Haskell | Psychologist | 6130 Prestley Mill Rd, Suite A, Douglasville, GA 30134-2288 | 2006-03-29 |
| 1528029089 | Stacy Jaynes Anderson | Counselor | 6130 Prestley Mill Rd, Suite A, Douglasville, GA 30134-2288 | 2006-03-31 |
| 1629039813 | Dennis L Herendeen | Psychologist | 6130 Prestley Mill Rd, Suite A, Douglasville, GA 30134-2288 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1184268682 | Rasheedat Adunni Ibrahim | Nurse Practitioner | 6712 Brookfield Way, Douglasville, GA 30134-1461 | 2019-10-29 |
| 1538717475 | Shantel Brown | Nurse Practitioner | 3347 Surveyor Ct, Douglasville, GA 30135-8102 | 2019-09-03 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1962986224 | Sherry-ann Francis-grant | Nurse Practitioner | 6510 Manor Creek Dr, Douglasville, GA 30135-3681 | 2018-09-21 |
| 1891278602 | Monique Danielle Jasper | Nurse Practitioner | 3090 Stone Oak Dr, Douglasville, GA 30135-1903 | 2018-09-09 |
| 1720560006 | Chinelo Emekwue | Nurse Practitioner | 2361 Salah Cir, Douglasville, GA 30135-8159 | 2018-09-03 |
| 1598269250 | Medicas Medical Clinic, LLC | Nurse Practitioner | 5846 Stewart Pkwy, Douglasville, GA 30135-2374 | 2018-03-19 |
| 1477083913 | Angela Long | Nurse Practitioner | 6126 Prestley Mill Rd Ste H, Douglasville, GA 30134-5624 | 2017-06-18 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
Please comment or provide details below to improve the information on MRS. KRISTY STRICKLAND 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.