JENNIFER GRACE MOORE (NPI# 1982254595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982254595 |
| Entity Type | Individual |
| Full Name | JENNIFER GRACE MOORE |
| Practice Address |
4600 3rd St Moline IL 61265-6106 |
| Practice Telephone | 3097793924 |
| Mailing Telephone | 3097793924 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1790332104 | Jennifer Dawn Moore | Technician | 3154 Jackson Bridge Rd, Carnesville, GA 30521-4126 | 2019-08-20 |
| 1427522192 | Jennifer G Moore | Speech-Language Pathologist | 2500 Cherry Ln, Northbrook, IL 60062-4414 | 2019-01-16 |
| 1548735632 | Jennifer Moore | Counselor | 11706 W Chenango Dr Apt 3, Morrison, CO 80465-2020 | 2018-10-04 |
| 1295218667 | Jennifer Elaine Moore | Registered Nurse | 185 Vz Cr 2103, Canton, TX 75103 | 2018-09-12 |
| 1942788104 | Jennifer Heine Moore | Licensed Vocational Nurse | 315 S Grand Saline St, Canton, TX 75103-1355 | 2018-07-31 |
| 1134639636 | Jennifer A Moore | Psychologist | 310 S Walnut Bend Rd Ste 2, Cordova, TN 38018-7282 | 2017-10-10 |
| 1346778214 | Jennifer Moore | Counselor | 348 Prior Ave N Ste 205, Saint Paul, MN 55104-5591 | 2017-05-23 |
| 1194263665 | Jennifer Moore | Occupational Therapist | 6540 Havens Corners Rd, Blacklick, OH 43004-8415 | 2017-02-06 |
| 1790237329 | Jennifer Moore | Student in an Organized Health Care Education/Training Program | 281 Winter St Ste 240, Waltham, MA 02451-8713 | 2016-10-31 |
| Street Address |
4600 3RD ST |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870351 | Ernest Lee Galbreath | Psychiatry & Neurology | 4600 3rd St, Moline, IL 61265-6106 | 2005-06-10 |
| 1316545601 | Tamelia Abbasi | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2020-10-09 |
| 1346856556 | Alexa Stombaugh | Case Manager/Care Coordinator | 4600 3rd St, Moline, IL 61265-6106 | 2020-09-22 |
| 1639785454 | Tracy Lynn Petersen | Case Manager/Care Coordinator | 4600 3rd St, Moline, IL 61265-6106 | 2020-09-17 |
| 1609489806 | Parneet Sahota | Student in an Organized Health Care Education/Training Program | 4600 3rd St, Moline, IL 61265-6106 | 2020-08-26 |
| 1477162212 | Camille Katrina Butler | Technician | 4600 3rd St, Moline, IL 61265-6106 | 2020-07-28 |
| 1659901106 | Gloria Maria Guillen | Nurse Practitioner | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-23 |
| 1699305136 | Kaila Jenaman | Nurse Practitioner | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-23 |
| 1114567559 | Salena Hutchins | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-14 |
| 1619516218 | Jenifer Regennitter | Counselor | 4600 3rd St, Moline, IL 61265-6106 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1831798313 | Marcella Ann Cochran | Nurse's Aide | 2418 6th Ave, Moline, IL 61265-1539 | 2020-10-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1316545601 | Tamelia Abbasi | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2020-10-09 |
| 1114567559 | Salena Hutchins | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-14 |
| 1134761687 | Marcia A Overton | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2019-10-16 |
| 1699316299 | Courtney E Vantheemsche | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2019-10-04 |
| 1548756174 | Erika Stubblefield | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2018-07-06 |
| 1750801833 | Bethany Rose Wolf | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992622 | Destinee Lathon | Nurse's Aide | 1731 Fairmont Dr, Springfield, IL 62702-2927 | 2020-11-06 |
| 1700485802 | Kiara Walker | Nurse's Aide | 914 S Greenlawn Ave, Peoria, IL 61605-3573 | 2020-10-20 |
| 1780290874 | Clara D Nixon | Nurse's Aide | 6539 S Bell Ave, Chicago, IL 60636-2529 | 2020-09-23 |
| 1255947263 | Sheniqua Woodson | Nurse's Aide | 308 Wigwam # 4c, Heyworth, IL 61745-8932 | 2020-09-16 |
| 1215542790 | Monique Diene Davis | Nurse's Aide | 11837 S Princeton Ave, Chicago, IL 60628-6011 | 2020-09-11 |
| 1568076636 | Xyavia Geigel | Nurse's Aide | 3206 Western Ave, Park Forest, IL 60466-1805 | 2020-09-04 |
| 1093328031 | Sophie Ann Tootelian | Nurse's Aide | 8334 N Waddams Grove Rd, Lena, IL 61048-9750 | 2020-08-28 |
| 1144830985 | Nancy Olivares | Nurse's Aide | 2608 N Moody Ave, Chicago, IL 60639-1024 | 2020-08-06 |
| 1417572678 | Ladonna Ann Williams | Nurse's Aide | 1688 Clifford St, Glendale Heights, IL 60139-2001 | 2020-06-13 |
| 1699398024 | Dasharay Epting | Nurse's Aide | 1115 W Garfield Blvd, Chicago, IL 60621-1528 | 2020-05-20 |
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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.