KRISTY D MOORE (NPI# 1891814703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891814703 |
| Entity Type | Individual |
| Full Name | KRISTY D MOORE |
| Credential | CRNA |
| Practice Address |
401 E Vaughn Ave Ruston LA 71270-5950 |
| Mailing Address |
771 Highway 1228 Winnfield LA 71483-7532 |
| Practice Telephone | 3182542100 |
| Mailing Telephone | 3182542557 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 074320 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS BLUE SHIELD | H6497 | 01 |
| LA | 1024252 | 05 | |
| LA | CRNA CERTIFICATION NO. | 074320 | 01 |
| 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 |
| 1841431277 | Kristy Strickland Moore | Nurse Practitioner | 6130 Prestley Mill Rd, Suite B, Douglasville, GA 30134-2288 | 2009-03-15 |
| 1134216476 | Kristy Ladawn Moore | Pharmacist | 8274 Ky Rt 122, Minnie, KY 41651 | 2006-10-06 |
| Street Address |
401 E VAUGHN AVE |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-5950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746855 | Bayou Pathology, Apmc & N. Smith, Md, LLP | Pathology | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2005-08-09 |
| 1245837251 | Laticia Chemeare Beaudoin | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2020-10-02 |
| 1962024026 | Clhg-ruston LLC | General Acute Care Hospital | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2020-05-12 |
| 1477112589 | Rhonda Marie Walker | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2019-06-12 |
| 1144889320 | Keith Owen Breaux | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2019-06-11 |
| 1558829382 | Monte Dale Moore | Clinical Nurse Specialist | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2019-03-11 |
| 1598280752 | Jennifer Ann Calvert | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2017-08-09 |
| 1700306404 | Stephanie Kay Morris | Nurse Practitioner | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2017-06-23 |
| 1992117436 | Beau Michael Burton | Registered Nurse | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2014-06-02 |
| 1699077156 | Renee Schwartzenburg Coleman | Physician Assistant | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2010-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750489365 | Jill A Parkman | Nurse Anesthetist, Certified Registered | 105 Stow Creek Rd, Ruston, LA 71270-1664 | 2006-09-20 |
| 1487950994 | Jennifer Hausgen Lowery | Nurse Anesthetist, Certified Registered | 1118 S Farmerville St, Medical Staff Services, Ruston, LA 71270-5914 | 2011-01-31 |
| 1023244779 | Arena Anesthesia LLC | Nurse Anesthetist, Certified Registered | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2009-06-09 |
| 1205076833 | Gregory Allen Strickland Jr. | Nurse Anesthetist, Certified Registered | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2009-02-22 |
| 1609032481 | Brandon Donald Bryan | Nurse Anesthetist, Certified Registered | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2008-07-31 |
| 1881877835 | Green Clinic Surgical Hospital Crna Group | Nurse Anesthetist, Certified Registered | 1118 S Farmerville St, Ruston, LA 71270-5914 | 2007-12-13 |
| 1730375288 | Walter Kennedy | Nurse Anesthetist, Certified Registered | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2007-09-19 |
| 1518087220 | Patricia D Volentine | Nurse Anesthetist, Certified Registered | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2007-03-29 |
| 1134248677 | Janie Constance Hill | Nurse Anesthetist, Certified Registered | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2007-03-28 |
| 1275661621 | John Harris | Nurse Anesthetist, Certified Registered | 1118 S Farmerville St, Ruston, LA 71270-5914 | 2007-02-28 |
| Find all providers in RUSTON | ||||
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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.