PATRYCE JEANALE MOORE (NPI# 1861663494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861663494 |
| Entity Type | Individual |
| Full Name | PATRYCE JEANALE MOORE |
| Practice Address |
3840 N Sherman Dr Indianapolis IN 46226-4462 |
| Practice Telephone | 3175412920 |
| Mailing Telephone | 3175412920 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 2350-24-0013 | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200503650 | 05 |
| Street Address |
3840 N SHERMAN DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46226-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417914441 | Laurie A Goebel | Pediatrics | 3840 N Sherman Dr, Indianapolis, IN 46226-4462 | 2006-04-26 |
| 1164915310 | Mariah Ann Adams | Dietitian, Registered | 3840 N Sherman Dr, Indianapolis, IN 46226-4462 | 2018-06-12 |
| 1669751491 | Becky J Sayre | Counselor | 3840 N Sherman Dr, Indianapolis, IN 46226-4462 | 2011-08-10 |
| 1124330832 | Natalie Ann Smith | Dietitian, Registered | 3840 N Sherman Dr, Indianapolis, IN 46226-4462 | 2010-07-10 |
| 1245464841 | Janet Valencia-lopez | Case Manager/Care Coordinator | 3840 N Sherman Dr, Indianapolis, IN 46226-4462 | 2009-05-11 |
| 1962673400 | Diana Collins | Case Manager/Care Coordinator | 3840 N Sherman Dr, Indianapolis, IN 46226-4462 | 2008-03-12 |
| 1326218850 | Marie Sanders | Case Manager/Care Coordinator | 3840 N Sherman Dr, Forest Manor Health Care, Indianapolis, IN 46226-4462 | 2008-03-12 |
| 1144490392 | Health and Hospital Corporation of Marion County | General Acute Care Hospital | 3840 N Sherman Dr, Indianapolis, IN 46226-4462 | 2008-03-04 |
| 1871797134 | Ellen Fan | Family Medicine | 3840 N Sherman Dr, Indianapolis, IN 46226-4462 | 2007-06-12 |
| 1093870867 | Brian T Walborn | Optometrist | 3840 N Sherman Dr, Eskenazi Health Center Forest Mano, Indianapolis, IN 46226-4462 | 2006-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053771972 | Iman Emami Ghafari | Chiropractor | 4082 Pendelton Way, Indianapolis, IN 46226 | 2016-03-04 |
| 1649649039 | Tindley Accelerated Schools | Local Education Agency (LEA) | 4625 Arlington Avenue, Indianapolis, IN 46226 | 2015-09-16 |
| 1801146261 | Strength Renewed Counseling Services | Social Worker | 5660 Caito Drive, Suite 122, Indianapolis, IN 46226 | 2012-09-13 |
| 1114122447 | Monica Beasley | Nurse's Aide | 835 Belhaven Place Apt. #3, Indianapolis, IN 46226 | 2007-06-18 |
| 1558413682 | Denise Lynne Schnell | Nurse Practitioner | 5259 N David Street, Laurence Community Wellness Center, Indianapolis, IN 46226 | 2007-01-17 |
| 1245326792 | Lina R Ealy | Specialist | 5856 Cedarstone Court, Indianapolis, IN 46226 | 2006-10-04 |
| 1740373323 | Options Treatment Acquisition Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 5602 Caito Drive, Indianapolis, IN 46226 | 2006-10-02 |
| 1518064823 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6975 North Pendleton Pike, Indianapolis, IN 46226 | 2006-09-20 |
| 1740383454 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 5005 E 56th St, Indianapolis, IN 46226 | 2006-09-07 |
| 1205964186 | Karl Lee Manders | Specialist | 5845 High Fall Rd, Indianapolis, IN 46226-1017 | 2007-03-01 |
| Find all providers in zip 46226 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351884 | Phx Mymed Health Access Solutions | Case Manager/Care Coordinator | 5777 N. Post Road, Indianapolis, IN 46216-2007 | 2019-11-27 |
| 1407409105 | Jeramie Davis | Case Manager/Care Coordinator | 2829 Greenview Way, Indianapolis, IN 46229-1500 | 2019-07-22 |
| 1174087894 | Cross Resource & Consulting LLC | Case Manager/Care Coordinator | 4716 Round Lake Rd Apt H, Indianapolis, IN 46205-2386 | 2019-01-27 |
| 1033688296 | Khulekani Mangozhe | Case Manager/Care Coordinator | 2410 Executive Dr Ste 201, Indianapolis, IN 46241-5000 | 2018-11-17 |
| 1356818744 | Christa R Henderson | Case Manager/Care Coordinator | 6301 Old Barn Ct, Indianapolis, IN 46268-4045 | 2018-10-24 |
| 1164999546 | Dominique Stuart | Case Manager/Care Coordinator | 2410 Executive Dr, Indianapolis, IN 46241-5045 | 2018-10-24 |
| 1457826513 | Christal Redd | Case Manager/Care Coordinator | 2819 Lambdin Ct, Indianapolis, IN 46268-5090 | 2018-10-04 |
| 1740765726 | Kimberly Sue Davis | Case Manager/Care Coordinator | 3171 N Meridian St Fl 2, Indianapolis, IN 46208-4784 | 2018-09-26 |
| 1720567712 | Monica M Lawrence | Case Manager/Care Coordinator | 924 Ardsley Dr, Indianapolis, IN 46234-2140 | 2018-08-09 |
| 1447737168 | Damon Lowell Hicks | Case Manager/Care Coordinator | 6342 Saint Jean Dr, Indianapolis, IN 46217-3859 | 2018-07-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46226 |
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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.