SHAKILA MOORE (NPI# 1891339099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891339099 |
| Entity Type | Individual |
| Full Name | SHAKILA MOORE |
| Credential | APRN, PMHNP-BC |
| Practice Address |
29910 State Road 56 Wesley Chapel FL 33543-8800 |
| Mailing Address |
3537 Ellis Ave Sw Birmingham AL 35221-1407 |
| Practice Telephone | 8134524597 |
| Mailing Telephone | 2052493242 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-12-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
1-159990 | AL | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN11004913 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3537 Ellis Ave Sw, Birmingham, AL 352211407 | 2052493242 |
| Street Address |
29910 STATE ROAD 56 |
| City | WESLEY CHAPEL |
| State | FL |
| Zip Code | 33543-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124162 | Damien Marquell Jones | Massage Therapist | 2122 Shelbourne Ct, Wesley Chapel, FL 33543 | 2018-08-21 |
| 1518452051 | Julian Fernandez-hodge | Specialist/Technologist | 4730 Pointe O Woods Dr, Wesley Chapel, FL 33543 | 2018-06-27 |
| 1780101394 | Angels Caretakers LLC | Home Health | 5100 Dancing Bay Ln, Wesley Chapel, FL 33543 | 2017-08-24 |
| 1982052965 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 28150 Willet Way, Wesley Chapel, FL 33543 | 2016-05-31 |
| 1881078384 | Abrahams Family Chiropractic, LLC | Chiropractor | 28963 State Road 54, Wesley Chapel, FL 33543 | 2015-07-14 |
| 1598151938 | Jennifer Pernas Boucher | Family Medicine | 30000 County Line Rd, Wesley Chapel, FL 33543 | 2015-04-13 |
| 1639591886 | Angela Recht | Behavioral Analyst | 31057 Mandolin Cay Ave, Wesley Chapel, FL 33543 | 2014-01-07 |
| 1811336902 | Ten Broeck Tampa, LLC | Substance Abuse Rehabilitation Facility | 29910 State Route 56, Wesley Chapel, FL 33543 | 2013-06-21 |
| 1104070101 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 30050 County Line Rd, Wesley Chapel, FL 33543 | 2008-11-05 |
| 1568610293 | Apex Dental | Dentist | 1207 Bruce B Downs Blvd, Suite 1, Wesley Chapel, FL 33543 | 2008-09-06 |
| Find all providers in zip 33543 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411360 | Specialized Psychiatric Care, LLC | Nurse Practitioner | 27552 Cashford Cir Ste 102, Wesley Chapel, FL 33544-6951 | 2020-03-04 |
| 1922017540 | Vanita Mahan | Nurse Practitioner | 2824 Windguard Cir, Suite 101, Wesley Chapel, FL 33544-7369 | 2006-08-05 |
| 1154873032 | Wendy Seals Holland | Nurse Practitioner | 2352 Bruce B Downs Blvd, Suite 304, Wesley Chapel, FL 33544-9203 | 2016-10-26 |
| 1023297678 | Cathleen A Barrett | Nurse Practitioner | 2237 Twelve Oaks Way, Suite 103, Wesley Chapel, FL 33544-6983 | 2007-10-31 |
| 1750314605 | Randall D Cobb | Nurse Practitioner | 2237 Twelve Oaks Way, Suite 103, Wesley Chapel, FL 33544-6983 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | WESLEY CHAPEL |
| Zip Code | 33543 |
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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.