JORDANN MOORE (NPI# 1871135921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871135921 |
| Entity Type | Individual |
| Full Name | JORDANN MOORE |
| Practice Address |
620 Gallatin Pike S Madison TN 37115-4013 |
| Practice Telephone | 6154766904 |
| Mailing Telephone | 6154766904 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
620 GALLATIN PIKE S |
| City | MADISON |
| State | TN |
| Zip Code | 37115-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316926553 | Sue St Clair | Nurse Practitioner | 620 Gallatin Pike S, Suite 214, Madison, TN 37115-4013 | 2006-01-16 |
| 1356960124 | Victoria Ann Fung-a-fat | Pharmacist | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2020-04-13 |
| 1962035915 | Olga Olivia Stanfill | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2020-02-18 |
| 1669010286 | Jennifer Janel Gardner | Licensed Practical Nurse | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-12-13 |
| 1619511417 | Andrea Santa Maria | Counselor | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-11-05 |
| 1386293546 | Stacy Hansen | Technician | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-09-10 |
| 1528617255 | Melba Buchanan | Counselor | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-09-05 |
| 1225686850 | Amy Jo Doiel | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-08-27 |
| 1023676624 | Ann Larose | Specialist | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-05-30 |
| 1770146433 | Heather Sullivan | Case Management | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| 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] |
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| 1548818776 | James Martin | Case Manager/Care Coordinator | 315 Sw Jeanette Cir, Madison, FL 32340-1155 | 2019-08-30 |
| 1275185522 | Selina Lor | Case Manager/Care Coordinator | 17 Daystar Ct Apt D, Madison, WI 53704-7354 | 2019-07-16 |
| 1154897163 | Avenues To Community Inc | Case Manager/Care Coordinator | 579 Donofrio Dr Ste 208, Madison, WI 53719-2839 | 2018-10-17 |
| 1023518214 | Anthony Dwain Pettus Jr. | Case Manager/Care Coordinator | 100 Spenryn Dr, Madison, AL 35758-1890 | 2018-02-14 |
| 1720507585 | Heather Marie Forney | Case Manager/Care Coordinator | 208 E Olin Ave, Madison, WI 53713-1434 | 2017-09-13 |
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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.