THERESA A MOORE (NPI# 1982687158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982687158 |
| Entity Type | Individual |
| Full Name | THERESA A MOORE |
| Credential | N.P. |
| Practice Address |
739 Irving Ave Suite 600 Syracuse NY 13210-1651 |
| Mailing Address |
1226 E Water St Syracuse NY 13210-1155 |
| Practice Telephone | 3154710190 |
| Practice Fax Number | 3154710170 |
| Mailing Telephone | 3154784185 |
| Mailing Fax Number | 3154780840 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 302160 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HEALTHNOW PROVIDER NUMBER | 000923428001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104224104 | Theresa Moore | Dental Hygienist | 1250 S Parker Rd Ste 102, Denver, CO 80231-2178 | 2014-12-08 |
| 1376983387 | Theresa Denise Moore | Counselor | 1411 E 65th Pl, 2w, Chicago, IL 60637-4439 | 2013-07-05 |
| 1477844769 | Theresa Lynn Moore | Licensed Practical Nurse | 7398 Lime Kiln Rd, Wayland, NY 14572-9213 | 2011-04-21 |
| 1467549931 | Theresa F Moore | Counselor | 117a Tradewynd Dr, Lynchburg, VA 24502-3112 | 2006-10-06 |
| 1316557960 | Theresa Marie Moore | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-08-07 |
| 1316561202 | Theresa Lynn Moore | Registered Nurse | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2020-06-05 |
| 1497101364 | Theresa Marie Moore | Counselor | 2001 W Orange Grove Rd Ste 604, Tucson, AZ 85704-1141 | 2016-05-10 |
| 1457732398 | Theresa Marie Moore | Speech-Language Pathologist | 725 American Ave, Waukesha, WI 53188-5031 | 2015-06-16 |
| 1023368339 | Theresa Moore | Pharmacist | 718 Mills Ave, Greenville, SC 29605 | 2012-09-13 |
| 1659421741 | Theresa Moore | Nurse Practitioner | 7000 E Belleview Ave Ste 310, Greenwood Village, CO 80111-1628 | 2007-01-11 |
| Street Address |
739 IRVING AVE SUITE 600 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384004 | Brenda A Baker | Nurse Practitioner | 739 Irving Ave, Ste 520, Syracuse, NY 13210-1663 | 2005-05-31 |
| 1538604053 | Darren Kwee | Physician Assistant | 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 | 2016-12-20 |
| 1093268153 | Mackenzie Renee Rotella | Nurse Practitioner | 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 | 2016-07-25 |
| 1811348642 | Sara Finney | Physician Assistant | 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651 | 2016-06-22 |
| 1174990592 | Anna Buckman | Nurse Practitioner | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 | 2015-09-02 |
| 1073999769 | Carly Hornis | Obstetrics & Gynecology | 739 Irving Ave, Suite 530, Syracuse, NY 13210-1663 | 2015-08-04 |
| 1144604117 | Brandy Leary | Nurse Practitioner | 739 Irving Ave, Suite 450, Syracuse, NY 13210-1651 | 2015-07-19 |
| 1639559305 | Crouse Medical Practice Pllc | Internal Medicine | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 | 2015-06-08 |
| 1477950400 | Tabatha Jorgensen | Physician Assistant | 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651 | 2014-11-19 |
| 1568874881 | Crouse Medical Practice Pllc | Non-Pharmacy Dispensing Site | 739 Irving Ave, Suite 200 and 300, Syracuse, NY 13210-1651 | 2014-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639730690 | Michelle L Lane | Nurse Practitioner | 301 Prospect Ave Fl 6, Syracuse, NY 13203-1807 | 2019-06-21 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1205241411 | Erin M. Kreifels | Nurse Practitioner | 277 E 17th St, Syracuse, NE 68446-5000 | 2014-06-25 |
| 1174675995 | Michelle Anne Dart | Nurse Practitioner | 3229 E. Genesee St., Syracuse, NY 13214 | 2007-01-18 |
| 1750470738 | Anna Marie Santoro | Nurse Practitioner | 800 Irving Ave Rm A202, Syracuse, NY 13210-2716 | 2006-10-11 |
| 1578582128 | Sean M Murphy | Nurse Practitioner | 144 Century Dr, Syracuse, NY 13209-2204 | 2006-07-18 |
| 1356304638 | Dana L Karash | Nurse Practitioner | 1120 E Genesee St, Syracuse, NY 13210-1912 | 2006-04-08 |
| 1679547392 | Jeanne E Pietrzak | Nurse Practitioner | 739 Irving Ave Ste 500, Syracuse, NY 13210-1664 | 2006-02-17 |
| 1073129029 | Kaitlyn Hazelmyer | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-09-16 |
| 1689299505 | Kimberly Ann Cerasani | Nurse Practitioner | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2020-06-16 |
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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.