KEVIN DUANE MOORE (NPI# 1932516788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932516788 |
| Entity Type | Individual |
| Full Name | KEVIN DUANE MOORE |
| Credential | LPN |
| Practice Address |
121 Swezey Ln Middle Island NY 11953-1547 |
| Practice Telephone | 6312782544 |
| Mailing Telephone | 6312782544 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 316431-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154781060 | Kevin Lee Moore | Internal Medicine | 612 Nw 42nd St, Oklahoma City, OK 73118-7004 | 2016-03-04 |
| 1982947164 | Kevin Moore | Counselor | 107 Hill St, Apt. 9, Stoneham, MA 02180-3720 | 2013-04-05 |
| 1891917324 | Kevin P. Moore | Marriage & Family Therapist | 7200 W 13th St N Ste 9, Wichita, KS 67212-2968 | 2007-05-03 |
| 1255484036 | Kevin Brian Moore | Chiropractor | 1004 Butler Ave, New Castle, PA 16101-4282 | 2007-01-18 |
| 1275690323 | Kevin Lee Moore | Dentist | 160 S 2nd Ave, Suite B, Clarion, PA 16214-2444 | 2007-01-01 |
| 1225199706 | Kevin Brent Moore | Dentist | 95 Stonecoal Road, Garrett, KY 41630 | 2006-12-12 |
| 1447319645 | Kevin Moore | Counselor | 314 Maxwell Rd Ste 400, Alpharetta, GA 30004-2045 | 2006-12-06 |
| 1619040037 | Kevin R Moore | Case Manager/Care Coordinator | 10528 Nw 57th Ct, Coral Springs, FL 33076-2810 | 2006-11-15 |
| 1023069176 | Kevin Joel Moore | Chiropractor | 3420 Elmore Ave, Davenport, IA 52807-2594 | 2006-05-13 |
| 1740270016 | Kevin E Moore | Family Medicine | 919 Chambers Blvd Ste D, Bardstown, KY 40004-2574 | 2005-10-26 |
| Street Address |
121 SWEZEY LN |
| City | MIDDLE ISLAND |
| State | NY |
| Zip Code | 11953-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1598252553 | Karen Simpson | Dietitian, Registered | 23 Summersweet Drive, Middle Island, NY 11953 | 2018-04-16 |
| 1699285502 | Amanda Rebekah Maye | Licensed Practical Nurse | 24 Wilson Avenue, Middle Island, NY 11953 | 2017-10-05 |
| 1982042065 | Shanti Kumari Chand | Licensed Practical Nurse | 49 Crest St, Oak Hollow Nursing Center, Middle Island, NY 11953 | 2013-06-11 |
| 1154664886 | Achieve Beyond Oediatric Therapy and Early Intervention Services | Early Intervention Provider Agency | 1103 Stonegate Way, Middle Island, NY 11953 | 2013-04-01 |
| 1831434018 | Amanda M Titus | Licensed Practical Nurse | 6 Redbud Ct, Middle Island, NY 11953 | 2012-11-29 |
| 1740561810 | Daniel Joseph Mckiernan | Registered Nurse | 217 Lake Point Cir, Middle Island, NY 11953 | 2011-09-02 |
| 1760787212 | Marissa Rodriguez | Speech-Language Pathologist | 41 Yaphank Middle Island Rd, Middle Island, NY 11953 | 2011-01-13 |
| 1376861542 | Sara Buckley | Licensed Practical Nurse | 341 Lake Pointe Dr, Middle Island, NY 11953 | 2010-05-12 |
| 1669645818 | Kimberley Jean Levy | Physician Assistant | 281 Middle Country Road, Middle Islana, NY 11953 | 2008-04-09 |
| Find all providers in zip 11953 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013480938 | Marcell Rountree | Licensed Practical Nurse | 517 Tudor Ln, Middle Island, NY 11953-1372 | 2019-01-03 |
| 1699285502 | Amanda Rebekah Maye | Licensed Practical Nurse | 24 Wilson Avenue, Middle Island, NY 11953 | 2017-10-05 |
| 1134645500 | Jeffrey Jerome Hunter | Licensed Practical Nurse | 47 Pinewoods Cres, Middle Island, NY 11953-1572 | 2017-08-17 |
| 1588105290 | Melissa Mccaffrey | Licensed Practical Nurse | 43 Wellington Rd, Middle Island, NY 11953-1562 | 2017-03-14 |
| 1649725136 | Storm Falcon Lawson | Licensed Practical Nurse | 16 Southfield Rd, Middle Island, NY 11953-1534 | 2016-08-24 |
| 1598125957 | Vanessa Marie Dodson | Licensed Practical Nurse | 19 Nord Park Blvd, Middle Island, NY 11953-1839 | 2016-02-28 |
| 1821453481 | Elif Desimone | Licensed Practical Nurse | 306 Fairview Cir, Middle Island, NY 11953-2361 | 2015-12-28 |
| 1780056556 | Sonia Edouard | Licensed Practical Nurse | 3 Summersweet Dr, Middle Island, NY 11953-2714 | 2015-10-20 |
| 1386025252 | Erica Rivera | Licensed Practical Nurse | 60 Winterberry Dr, Middle Island, NY 11953-2706 | 2015-06-16 |
| 1801287487 | Jason Faulkner | Licensed Practical Nurse | 124 W Bartlett Rd, Middle Island, NY 11953-1812 | 2015-02-18 |
| Find all providers in MIDDLE ISLAND | ||||
| City | MIDDLE ISLAND |
| Zip Code | 11953 |
Please comment or provide details below to improve the information on KEVIN DUANE MOORE.
| 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.