| Angela Danielle Moore, | |
|
851 S Willow Ave Ste 112, Cookeville, TN 38501-4222 | |
| (615) 941-8501 | |
| (615) 941-8102 |
| Full Name | Angela Danielle Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 851 S Willow Ave Ste 112, Cookeville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609137587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 16830 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 16830 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abilis Health Mcminnville, Llc | Mc minnville, TN | Home health agency |
| Nhc Homecare Murfreesboro | Murfreesboro, TN | Home health agency |
| Saint Thomas River Park Hospital | Mc minnville, TN | Hospital |
| Southern Tennessee Regional Hlth System Winchester | Winchester, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coffee County Hospital Group Inc | 1456317783 | 79 |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Danielle Moore, 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018 | Angela Danielle Moore, 851 S Willow Ave Ste 112, Cookeville, TN 38501-4222 Ph: (615) 941-8501 |
Amy Jo Emerick, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 N Cedar Ave, Cookeville, TN 38501 Phone: 931-520-8435 | |
Cathleen Delane Stewart, NURSE PRACTIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 758 S Willow Ave., Cookeville, TN 38501 Phone: 931-526-6173 Fax: 931-526-5084 | |
Laura June Young, FAMILY PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-8593 | |
Sarah Brady, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 3rd St, Cookeville, TN 38501 Phone: 931-528-9047 | |
Mrs. Karen Candace Norrod, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 S Willow Ave, Cookeville, TN 38506 Phone: 931-349-4603 | |
Joseph C Archer, ANP C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 S Willow Ave, Cookeville, TN 38501 Phone: 931-526-9518 Fax: 931-372-0087 | |
Japheth F Harding, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 N Willow Ave, Cookeville, TN 38501 Phone: 931-528-8899 Fax: 931-528-5121 |