JESSICA MOORE (NPI# 1922645688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922645688 |
| Entity Type | Individual |
| Full Name | JESSICA MOORE |
| Credential | FNP-C |
| Practice Address |
4351 Ridgemont Dr Ste A Abilene TX 79606-8747 |
| Mailing Address |
4817 Big Bend Trl Abilene TX 79602-1272 |
| Practice Telephone | 2542459175 |
| Practice Fax Number | 2542137771 |
| Mailing Telephone | 3256695133 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP143446 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395416 | Jessica Moore | Nurse Practitioner | 232 N Watt Rd, Knoxville, TN 37934-1103 | 2020-08-06 |
| 1578185773 | Jessica Moore | Counselor | 1143 White Pine Ct, Cincinnati, OH 45255-4747 | 2020-05-11 |
| 1225669310 | Jessica Moore | Student in an Organized Health Care Education/Training Program | 1800 W 35th St, Austin, TX 78703-1323 | 2020-01-28 |
| 1083269559 | Jessica M Moore | Physician Assistant | Clements University Hospital 6201 Harry Hines Blvd, Dallas, TX 75390-6413 | 2019-08-01 |
| 1053873489 | Jessica Moore | Counselor | 550 Pinetown Rd Ste 150, Fort Washington, PA 19034-2612 | 2019-04-04 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1790167773 | Jessica Moore | Counselor | 3445 Dethman Ridge Road, Hood River, OR 97031 | 2015-06-25 |
| 1912324484 | Jessica Moore | Psychologist | 1286 S Linden Rd Ste B, Flint, MI 48532-3457 | 2014-03-24 |
| 1992148688 | Jessica Renee Moore | Psychiatry & Neurology | 6363 Forest Park Rd 7th Flste 749, Dallas, TX 75390-7708 | 2013-04-11 |
| Street Address |
4351 RIDGEMONT DR STE A |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-8747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474946 | Scott W Campbell | Anesthesiology | 4351 Ridgemont Dr Ste A, Abilene, TX 79606-8747 | 2005-06-01 |
| 1497354278 | Kimberly L Dubois | Nurse Practitioner | 4351 Ridgemont Dr Ste A, Abilene, TX 79606-8747 | 2020-10-22 |
| 1386106615 | Amanda Jean Sherley | Nurse Practitioner | 4351 Ridgemont Dr Ste A, Abilene, TX 79606 | 2019-04-04 |
| 1124505953 | Stephen Lynn Mcclintock | Nurse Practitioner | 4351 Ridgemont Dr Ste A, Abilene, TX 79606-8747 | 2018-07-24 |
| 1235170671 | Jerry M. Tarver | Anesthesiology | 4351 Ridgemont Dr Ste A, Abilene, TX 79606 | 2006-06-09 |
| 1346246972 | Marcus A Reyes | Nurse Anesthetist, Certified Registered | 4351 Ridgemont Dr Ste A, Abilene, TX 79606-8747 | 2005-06-28 |
| 1225034796 | Vince Viola | Physician Assistant | 4351 Ridgemont Dr Ste A, Abilene, TX 79606-8747 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1982202990 | Melanie Ann Koscienski | Nurse Practitioner | 798 Key Ln, Abilene, TX 79602-7602 | 2020-10-12 |
| 1205434321 | Katherine Addie Laws | Nurse Practitioner | 3257 Whitewing Way, Abilene, TX 79606-3335 | 2020-10-12 |
| 1215543483 | Molly Sims | Nurse Practitioner | 617 Running Water Trl, Abilene, TX 79602-7047 | 2020-09-22 |
| 1831709161 | Kelsey Ann Komechak | Nurse Practitioner | 17355 Fm 2404, Abilene, TX 79601-8292 | 2020-08-02 |
| 1003433343 | Jewel Monique Trancoso | Nurse Practitioner | 2600 Ivanhoe Ln Apt 204, Abilene, TX 79605-6242 | 2020-07-02 |
| 1134753551 | Victoria L Schafer | Nurse Practitioner | 1701 Waldrop Dr, Abilene, TX 79606-5811 | 2020-02-25 |
| 1043859093 | Shanna Gamble | Nurse Practitioner | 3541 Balboa Bch, Abilene, TX 79606-5659 | 2019-12-21 |
| 1386280477 | Jayden Shi Yates | Nurse Practitioner | 189 Quaker Rd, Abilene, TX 79602-4347 | 2019-11-23 |
| 1275184939 | Rachel Phillips | Nurse Practitioner | 1924 Pine St Ste 501, Abilene, TX 79601-2452 | 2019-09-24 |
| Find all providers in ABILENE | ||||
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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.