MS. MINDY A MOORE (NPI# 1902204886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902204886 |
| Entity Type | Individual |
| Full Name | MS. MINDY A MOORE |
| Credential | RN |
| Practice Address |
220 Fluvanna Ave Jamestown NY 14701-2051 |
| Practice Telephone | 7164871131 |
| Practice Fax Number | 7164871138 |
| Mailing Telephone | 7164871131 |
| Mailing Fax Number | 7164871138 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
490641-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174792998 | Mindy Milar Moore | Nurse Practitioner | 7975 Sw 83rd Ave, Portland, OR 97223-7334 | 2008-02-26 |
| 1356744593 | Mindy Stutzman Moore | Psychologist | 4801 W Peterson Ave Ste 601, Chicago, IL 60646-5728 | 2014-10-02 |
| 1073722419 | Mindy Michelle Moore | Dentist | 140 Veterans Blvd, Denham Springs, LA 70726-5100 | 2007-05-22 |
| Street Address |
220 FLUVANNA AVE |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578886198 | Andrea J Carlson | Licensed Vocational Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2051 | 2010-03-10 |
| 1396257465 | Brenda Barden | Registered Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2052 | 2017-10-30 |
| 1003356072 | Lisa Jaeckle | Licensed Practical Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2052 | 2017-02-24 |
| 1891246278 | Willcare | Home Health | 220 Fluvanna Ave, Suite 200, Jamestown, NY 14701-2052 | 2016-10-20 |
| 1841740818 | Willcare | Home Health | 220 Fluvanna Ave, Jamestown, NY 14701-2052 | 2016-10-13 |
| 1346695848 | Dana Cortright | Registered Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2052 | 2016-05-03 |
| 1538550223 | Melinda Young | Registered Nurse | 220 Fluvanna Ave, Suite 200, Jamestown, NY 14701-2051 | 2015-02-17 |
| 1487058863 | Rebecca Klakamp | Registered Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2051 | 2014-10-14 |
| 1831526870 | Michelle Salisbury | Registered Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2051 | 2013-10-06 |
| 1578905311 | Kevonn Gay | Licensed Practical Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2051 | 2013-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750691820 | Karen J Gould | Registered Nurse | 129 Willow Ave, Jamestown, NY 14701-4120 | 2010-10-07 |
| 1346695848 | Dana Cortright | Registered Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2052 | 2016-05-03 |
| 1114372133 | Martha B. Wood | Registered Nurse | 500 Pine St, Jamestown, NY 14701-5384 | 2016-04-27 |
| 1538550223 | Melinda Young | Registered Nurse | 220 Fluvanna Ave, Suite 200, Jamestown, NY 14701-2051 | 2015-02-17 |
| 1487058863 | Rebecca Klakamp | Registered Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2051 | 2014-10-14 |
| 1548662539 | Genevieve Rossotto | Registered Nurse | 220 Fluvanna Ave Ste 200, Jamestown, NY 14701-2051 | 2014-09-22 |
| 1831526870 | Michelle Salisbury | Registered Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2051 | 2013-10-06 |
| 1598047615 | Ronda Sue Roesler | Registered Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2051 | 2011-09-14 |
| 1659662898 | Jamie Elizabeth Cercone | Registered Nurse | 220 Fluvanna Ave, Suite 200, Jamestown, NY 14701-2051 | 2011-04-21 |
| 1699085084 | Lisa L Leber | Registered Nurse | 220 Fluvanna Ave, Jamestown, NY 14701-2051 | 2010-10-19 |
| Find all providers in JAMESTOWN | ||||
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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.