| Quentin Moore, ARNP | |
| 
					1055 Dove Run Rd, Lexington, KY 40502-3536  | |
| (859) 269-4668 | |
| (859) 266-5577 | 
| Full Name | Quentin Moore | 
|---|---|
| Gender | Male | 
| Speciality | Registered Nurse | 
| Location | 1055 Dove Run Rd, Lexington, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497842009 | NPI | - | NPPES | 
| 78013703 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 1051982 (Kentucky) | Primary | 
| 363LP2300X | Nurse Practitioner - Primary Care | 4172P (Kentucky) | Secondary | 
| Entity Name | Spero Health Of Kentucky, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982102109 PECOS PAC ID: 1052792041 Enrollment ID: O20220721003823  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Quentin Moore, ARNP 1055 Dove Run Rd, Suite 200, Lexington, KY 40502-3536 Ph: (859) 268-0061  | Quentin Moore, ARNP 1055 Dove Run Rd, Lexington, KY 40502-3536 Ph: (859) 269-4668  | 
Mrs. Christina Daugherty, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 160 N Eagle Creek Dr, Suite 400, Lexington, KY 40509 Phone: 859-258-5220 Fax: 859-258-5405  | |
Mrs. Nancy Elaine Garth, RN, LDE, CLNC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 217 Elm Tree Lane, Uk Healthcare Polk-dalton Clinic, Lexington, KY 40507 Phone: 859-323-0733 Fax: 859-257-6951  | |
Esperance Ndeemya,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3312 Cheltenham Dr, Lexington, KY 40509 Phone: 859-270-5206  | |
Janey C Wendschlag, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 650 Newtown Pike, Lexington, KY 40508 Phone: 859-252-2371  | |
Natalie Michelle Anderson, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 650 Newtown Pike, Lexington, KY 40508 Phone: 859-252-2371  | |
Ms. Judy Ann Harrison, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 961 Beasley St, Ste 170, Lexington, KY 40509 Phone: 859-226-5022 Fax: 859-226-5025  | |
Janice Stephens, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, Lexington, KY 40502 Phone: 859-233-4511 Fax: 859-281-3933  |