DANIEL LEWIS MOORE (NPI# 1912519117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912519117 |
Entity Type | Individual |
Full Name | DANIEL LEWIS MOORE |
Practice Address |
320 River Park Dr Ste 255 Provo UT 84604-6065 |
Mailing Address |
652 S Medical Center Dr Ste 110 Saint George UT 84790-7077 |
Practice Telephone | 3852030246 |
Mailing Telephone | 4352150230 |
Mailing Fax Number | 4359867092 |
Enumeration Date | 2020-08-19 |
Last Update Date | 2020-10-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8620638-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962997676 | Daniel Moore | Rehabilitation Practitioner | 6368 Maratea Ave, Las Vegas, NV 89130-2111 | 2018-06-25 |
1972939825 | Daniel Q Moore | Physical Therapist | 6202 Patrigde Dr, Pearland, TX 77584 | 2013-09-24 |
1679831713 | Daniel Moore | Rehabilitation Practitioner | 1614 Pacific St, Las Vegas, NV 89104-4042 | 2012-04-26 |
1710047832 | Daniel W Moore | Specialist | 790 Church St Ne Ste 330, Marietta, GA 30060-8957 | 2006-12-11 |
1427074798 | Daniel Lee Moore | Chiropractor | 6843 Main St, Bonners Ferry, ID 83805-8552 | 2006-07-13 |
1679534606 | Daniel Ray Moore | Dentist | 1800 Sw 1st Ave, Suite 530, Portland, OR 97201 | 2006-03-29 |
1487644159 | Daniel James Moore | Dentist | 1844 San Miguel Dr, Suite 100, Walnut Creek, CA 94596-4962 | 2005-10-25 |
1528054228 | Daniel J Moore | Internal Medicine | 1003 S 5th St # 3l, Tacoma, WA 98405-4210 | 2005-09-27 |
1134113335 | Daniel P Moore | Physical Medicine & Rehabilitation | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-09-02 |
1285636845 | Daniel Gerald Moore | Chiropractor | 19332 Highway 169, Elk River, MN 55330-4645 | 2005-08-12 |
Street Address |
320 RIVER PARK DR STE 255 |
City | PROVO |
State | UT |
Zip Code | 84604-6065 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770558090 | Bryan C Hoelzer | Anesthesiology | 320 River Park Dr Ste 255, Provo, UT 84604 | 2006-02-21 |
1902333065 | Rebecca Ann Waite | Nurse Practitioner | 320 River Park Dr Ste 255, Provo, UT 84604-6065 | 2017-05-18 |
1104370436 | Edward Parry | Nurse Practitioner | 320 River Park Dr Ste 255, Provo, UT 84604-6065 | 2016-08-03 |
1265821276 | Kaylene Elder | Nurse Practitioner | 320 River Park Dr Ste 255, Provo, UT 84604-6065 | 2015-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
Find all providers in zip 84604 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750998860 | Jeremy Llewellyn | Nurse Practitioner | 395 W Cougar Blvd Fl 5, Provo, UT 84604-3323 | 2020-09-24 |
1336765882 | Julie Andrea Rogers | Nurse Practitioner | 428 W 4620 N, Provo, UT 84604-5537 | 2020-06-21 |
1992337208 | Xiao Xiao Zou Hoffman | Nurse Practitioner | 1747 N 1500 W, Provo, UT 84604-1146 | 2020-02-05 |
1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
1174095855 | Jared Hawkins | Nurse Practitioner | 1034 N 500 W # 84604, Provo, UT 84604-3380 | 2018-12-19 |
1891270062 | Catherine Leilani Barrus | Nurse Practitioner | 2833 Indian Hills Cir, Provo, UT 84604-4333 | 2018-10-03 |
1760968804 | Amanda Graves | Nurse Practitioner | 1900 N State St Ste 103, Provo, UT 84604-1354 | 2018-07-12 |
1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
1205356250 | Gordon Dale Mills Jr. | Nurse Practitioner | 1055 N 500 W # 212, Provo, UT 84604-3305 | 2017-06-21 |
1770034845 | Megan Mackenzie Zitting | Nurse Practitioner | 1437 E 1270 S, Provo, UT 84606-6527 | 2016-10-24 |
Find all providers in PROVO |
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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.