DEBRA MOORE (NPI# 1912468349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912468349 |
| Entity Type | Individual |
| Full Name | DEBRA MOORE |
| Practice Address |
415 N 26th St Ste 201 Lafayette IN 47904-2856 |
| Practice Telephone | 7654466562 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174863765 | Debra Elaine Moore | Speech-Language Pathologist | 17 Mills Ln, East Setauket, NY 11733-3805 | 2013-02-19 |
| 1548530868 | Debra M Moore | Veterinarian | 155 Heights Ave, Inverness, FL 34452-4573 | 2012-01-03 |
| 1497064935 | Debra Jean Moore | Social Worker | 404 Galleria Dr Ste 5, Oxford, MS 38655-4383 | 2010-10-01 |
| 1043379449 | Debra Ann Moore | Technician/Technologist | 269 West Vincennes St, Linton, IN 47441 | 2006-12-08 |
| 1235148602 | Debra L. Moore | Psychologist | 805 Church St, Decatur, GA 30030-1870 | 2006-08-05 |
| 1386116606 | Debra Moore | Clinic/Center | 650 Phipps Blvd Ne, Atlanta, GA 30326-3200 | 2018-12-27 |
| 1104168806 | Debra Moore | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-03-20 |
| 1750630497 | Debra Lynn Moore | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840 | 2012-09-07 |
| 1366689333 | Debra Lynn Moore | Nurse Practitioner | 1917 S Main St, Findlay, OH 45840-1208 | 2009-01-13 |
| 1457596553 | Debra J Moore | Counselor | 1501 Sumter Street, Pastoral Counseling Service, Columbia, SC 29201-2928 | 2008-12-04 |
| Street Address |
415 N 26TH ST STE 201 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407807134 | Melissa Hope Nice | Nurse Practitioner | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2006-05-15 |
| 1215576764 | Molly Hellmann | Social Worker | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2020-01-02 |
| 1427510908 | Kathleen Carmosin | Social Worker | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2019-04-03 |
| 1891259115 | Stacy Bennett | Case Manager/Care Coordinator | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2019-01-31 |
| 1114498128 | Rebekah Thomas | Case Manager/Care Coordinator | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2018-12-17 |
| 1730662875 | Erica Eades | Case Manager/Care Coordinator | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2018-09-14 |
| 1770065211 | Olga Ortega-atkinson | Case Manager/Care Coordinator | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2018-08-31 |
| 1770079618 | Ronyelle Smith | Case Manager/Care Coordinator | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2018-07-03 |
| 1508352527 | Kim Bargfeldt | Case Manager/Care Coordinator | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2018-07-02 |
| 1720574866 | Bobbie White | Case Manager/Care Coordinator | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2018-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| 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 |
|---|---|---|---|---|
| 1043817331 | Wanda Frazier | Case Manager/Care Coordinator | 203 Robert Lee Cir, Lafayette, LA 70506-3130 | 2020-10-08 |
| 1053925891 | Tiesha Sheridan | Case Manager/Care Coordinator | 201 Pavilion St, Lafayette, LA 70507-2691 | 2020-08-31 |
| 1821608621 | Dana St Julien | Case Manager/Care Coordinator | 103 Whirlaway Drive, Lafayette, LA 70507-2592 | 2020-08-06 |
| 1023636032 | Kayla Lynn Falgout | Case Manager/Care Coordinator | 112 Hillside Dr Apt 36, Lafayette, LA 70503-2837 | 2020-07-07 |
| 1437772258 | Cristian Jose Leopoldo Caraballo Rodriguez | Case Manager/Care Coordinator | 2509 Johnston St Apt 7-06, Lafayette, LA 70503-3261 | 2020-05-27 |
| 1124649371 | Jean Harford | Case Manager/Care Coordinator | 415 N 26th St Ste 102, Lafayette, IN 47904-2855 | 2020-04-29 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1700410925 | Ireland Williams | Case Manager/Care Coordinator | 201 High Meadows Blvd Apt 116, Lafayette, LA 70507-3454 | 2020-02-26 |
| 1619508173 | Erik Narcisse | Case Manager/Care Coordinator | 1318 Lee Ave Apt A8, Lafayette, LA 70506-3663 | 2020-02-03 |
| 1841821899 | Bailey Derrion Valentine | Case Manager/Care Coordinator | 1400 N Bertrand Dr Apt 5111, Lafayette, LA 70506-3066 | 2020-01-29 |
| Find all providers in LAFAYETTE | ||||
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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.