MS. AMY L. MOORE


Address: 1 Washington Sq, San Jose, CA 95192-3613
Phone: 4089246122

MS. AMY L. MOORE (NPI# 1912151382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912151382
Entity Type Individual
Full Name MS. AMY L. MOORE
Credential MSN, FNP-BC
Practice Address 1 Washington Sq
San Jose
CA 95192-3613
Mailing Address 1 Washington Sq
San Jose
CA 95192-2500
Practice Telephone 4089246122
Mailing Telephone 4089246122
Enumeration Date 2008-11-11
Last Update Date 2019-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN 681207 CA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
681207 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers AMY MOORE

NPI Name Taxonomy Address Enumeration
1235745977 Amy Moore Technician 1007 Pike St, Parkersburg, WV 26101-6267 2020-09-18
1538785027 Amy Lawson Moore Psychologist 5085 List Dr Ste 200c, Colorado Springs, CO 80919-3301 2020-06-19
1407479850 Amy Moore Speech-Language Pathologist 16792 Edgewater Ln, Huntington Beach, CA 92649-3074 2020-05-20
1659882025 Amy J. Moore Counselor 1200 Luzerne Street Ext, Johnstown, PA 15905-2153 2017-10-12
1104232420 Amy Moore Physical Therapist 7301 Hennessy Blvd Ste 101, Baton Rouge, LA 70808-4384 2014-07-08
1528326923 Amy Moore Counselor 420 Capital Ave, Frankfort, KY 40601 2012-04-24
1851698245 Amy Jo Moore Dental Hygienist 36124 42nd St E, Palmdale, CA 93552-6208 2011-02-21
1437398823 Amy Wortham Moore Speech-Language Pathologist 532 White Stone Way, Hoover, AL 35226-4214 2009-02-09
1710154018 Amy Lee Moore Counselor 875 W. Moreno, Colorado Springs, CO 80905 2008-05-15
1467646372 Amy Lynn Moore Licensed Practical Nurse 575 Sheridan Rd, Noblesville, IN 46060-1317 2007-09-04

Office Location

Street Address 1 WASHINGTON SQ
City SAN JOSE
State CA
Zip Code 95192-3613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144869223 Claire Foster Psychologist 1 Washington Sq, San Jose, CA 95192-1112 2020-01-06
1417433657 Peitzu Tsai Speech-Language Pathologist 1 Washington Sq, San Jose, CA 95192-0079 2018-07-11
1528554839 Gina Marie Guglielmoni Specialist/Technologist 1 Washington Sq, San Jose, CA 95192-1000 2018-07-10
1780109330 Lisa Anne Palmer Student in an Organized Health Care Education/Training Program 1 Washington Sq, San Jose, CA 95192-1000 2017-08-04
1508215906 Samantha Calvet Specialist/Technologist 1 Washington Sq, San Jose, CA 95192-1000 2016-06-07
1881948560 Erin L Woodhead Psychologist 1 Washington Sq, San Jose, CA 95192-0120 2012-11-02
1740562065 Marcella Mccollum Speech-Language Pathologist 1 Washington Sq, Sh 115, San Jose, CA 95192-0079 2011-09-13
1225310444 Wendy Quach Speech-Language Pathologist 1 Washington Sq, San Jose, CA 95192-0079 2011-09-13
1457534968 San Jose State University Student Health Center Clinic/Center 1 Washington Sq, San Jose, CA 95192-0037 2007-12-07
1295952711 Nancy Marie Nuzzolillo Nurse Practitioner 1 Washington Sq, San Jose, CA 95192-0037 2007-04-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093326324 Kyungmo Han Specialist/Technologist Department of Kinesiology One Washington Square, San Jose, CA 95192-0001 2020-08-11
1558589382 Barbara Fu Internal Medicine Sjsu Shc One Washington Sq, San Jose, CA 95192-0001 2007-04-24
1104856624 Jeb M Burns Specialist/Technologist One Washington Square, San Jose, CA 95192-0001 2006-07-03
1598702136 Jeffrey James Roberts Specialist/Technologist San Jose State University, Department of Kinesiology, San Jose, CA 95192-0001 2006-06-01
1013246628 Roger Karlsson Psychologist Department of Psychology, 1 Washington Sq, San Jose, CA 95192-0001 2009-12-09
1639203755 Harry John Cornbleet Internal Medicine San Jose State University Student Health Ctr, 1 Washington Sq, San Jose, CA 95192-0037 2007-03-14
1124230008 Robert Laurence Kronisch Family Medicine San Jose State University Student Health Ctr, One Washington Square, San Jose, CA 95192-0037 2007-05-04
1306313085 Masaaki Tsuruike Preventive Medicine One Washington Square, San Jose, CA 95192-0054 2018-10-31
1013180488 Jennifer Gregg Psychologist Dept of Psychology, One Washington Square, San Jose, CA 95192-0120 2008-04-08
1407136872 Jenessa Bayda Social Worker School of Social Work, One Washington Square, San Jose, CA 95192-0124 2011-08-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518565738 Lena Kil Nurse Practitioner 3680 Greenlee Dr Apt 4, San Jose, CA 95117-1469 2020-10-09
1740893858 Esther Kiang Nurse Practitioner 1072 E Santa Clara St, San Jose, CA 95116-2245 2020-08-28
1902419575 Leonard Iskander Nurse Practitioner 1146 Summerpark Ct, San Jose, CA 95132-2944 2020-08-25
1760004055 Destiny Ann Brewer Nurse Practitioner 4735 Hamilton Ave # 80, San Jose, CA 95130-1769 2020-05-11
1841825148 Marta Anna Sivarajah Nurse Practitioner 255 N. White Rd., San Jose, CA 95127-1966 2020-03-06
1114567500 Sabine Dorothea Haas Nurse Practitioner 1879 Lundy Ave Ste 233, San Jose, CA 95131-1881 2020-01-14
1861033870 Jessica Gutierrez Nurse Practitioner 635 S 11th St Apt 14, San Jose, CA 95112-2343 2019-10-01
1124589379 Yvonne Ndeh Nurse Practitioner 418 Shadowgraph Dr, San Jose, CA 95110-3564 2019-03-29
1588139661 Vicky Chi Lin Nurse Practitioner 100 Oak St Rm F-3, San Jose, CA 95110-2817 2018-10-04
1851884381 Anh Tuan Huynh Nurse Practitioner 3100 Rubino Dr Apt 310, San Jose, CA 95125-6369 2018-06-09
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Competitor

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City SAN JOSE
Zip Code 95192

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Dataset Information

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.

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