MR. FREDDIE LEE MOORE JR. (NPI# 1912344318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912344318 |
Entity Type | Individual |
Full Name | MR. FREDDIE LEE MOORE JR. |
Practice Address |
4140 Pond Cypress Ct Tallahassee FL 32310-6357 |
Practice Telephone | 8503635984 |
Mailing Telephone | 8503635984 |
Enumeration Date | 2013-05-27 |
Last Update Date | 2013-05-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548695679 | Freddie Mae Moore | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2013-09-09 |
Street Address |
4140 POND CYPRESS CT |
City | TALLAHASSEE |
State | FL |
Zip Code | 32310-6357 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376097436 | Hector Saucedo | Dentist | Ave. Lopez Mateos 1524, Suite 1, Juarez, CHIHUAHUA 32310 | 2016-08-06 |
1548622988 | Gloria Luz Angelica Carranza Sanchez | Dentist | Tepeyac 2722, Col. Cordoba-americas, Cd. Juarez, CHIHUAHUA 32310 | 2016-03-24 |
1205216108 | Claudio Avila | Dentist | Calle Zempoala #3410-a, Juarez, CHIHUAHUA 32310 | 2015-06-05 |
1154713865 | Marco Lara | Dentist | Simon Bolivar #8533, Suite 7, Juarez, CHIHUAHUA 32310 | 2015-03-04 |
1932599925 | Heather Alexander | Dental Assistant | 4513 Avenida Paseo De La Reforma, Ciudad Juarez, CHIHUAHUA 32310 | 2015-01-28 |
1942637129 | Verna M Williams | In Home Supportive Care | 8483 Bay Cedar Drive, Tallahassee, FL 32310 | 2013-10-02 |
1780925800 | Miguel Moran | Dentist | P. E. Calles #783 Nte., Ciudad Juarez, CHIHUAHUA 32310 | 2013-03-14 |
1467767897 | Herdz Inc. | Dentist | 4007 Rio Yaqui, Cd.juarez, CHIH. 32310 | 2010-08-10 |
1710214705 | Laura Solis | Dentist | Paseo T. De La Republica #2825-14a, Juarez, CHIHUAHUA 32310 | 2009-11-11 |
1245567684 | Maria De Jesus Guereca | Dentist | Ave. Espejo #79-a, Cd Juarez, CHIH 32310 | 2009-11-05 |
Find all providers in zip 32310 |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497285209 | Anita Johnson Jackson | Case Manager/Care Coordinator | 3204 N Ridge Rd, Tallahassee, FL 32305 | 2017-06-14 |
1568831725 | Josie West | Case Manager/Care Coordinator | 934 Cochran Dr, Tallahassee, FL 32301-7022 | 2015-09-17 |
1013322676 | Suvonia Yon | Case Manager/Care Coordinator | 4039 Buster Rd, Tallahassee, FL 32305-8337 | 2014-06-23 |
1194155358 | Desmond Crayton | Case Manager/Care Coordinator | 501 Blairstone Rd, Apt. 3802, Tallahassee, FL 32301-3058 | 2013-11-25 |
1609112507 | Michelle Gamble | Case Manager/Care Coordinator | 3208 Old Bainbridge Rd, Tallahassee, FL 32303-2720 | 2012-12-20 |
1396007365 | Hellen P Brenes | Case Manager/Care Coordinator | 3008 Giles Pl, Tallahassee, FL 32309-2114 | 2012-06-14 |
1942560255 | Pamela Laonora Chamberlynn | Case Manager/Care Coordinator | 3711 Shamrock St W, M-162, Tallahassee, FL 32309-2658 | 2012-05-21 |
1336429414 | Deirdre Danielle Clark | Case Manager/Care Coordinator | 2844 Hampton Meadow Dr, Tallahassee, FL 32311-8124 | 2011-08-22 |
1538462262 | John M. Whiddon | Case Manager/Care Coordinator | 1906 Buford Blvd, #2, Tallahassee, FL 32308-4666 | 2010-12-20 |
1891095451 | Alesia R Traeye | Case Manager/Care Coordinator | 2005 Fannie Dr, Tallahassee, FL 32303-8618 | 2010-10-29 |
Find all providers in TALLAHASSEE |
City | TALLAHASSEE |
Zip Code | 32310 |
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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.