Sandra Jeanne Moore, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

042689 Issued in MO

Practice address

107 W Broadway
Pathway's Behavioral Health Care
Eldorado Springs, MO 64744

Phone

(417) 876-5314

Fax

(417) 876-5328

NPI assigned

Nov 2, 2010

Last updated

Nov 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Sandra Jeanne Arnett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1376843714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY DRIVE",
            "address_2": "MIDWEST HEALTH CARE MANAGEMENT INC",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "68735",
            "telephone_number": "660-885-8131",
            "fax_number": "660-885-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W BROADWAY",
            "address_2": "PATHWAY'S BEHAVIORAL HEALTH CARE",
            "city": "ELDORADO SPRINGS",
            "state": "MO",
            "postal_code": "64744",
            "telephone_number": "417-876-5314",
            "fax_number": "417-876-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SANDRA",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MO",
            "license": "042689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "ARNETT",
            "middle_name": "JEANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chandler B McKinney, PA
• Brooke Nicole McPeak, FNP-C
• Mercy Clinic Springfield Communities (Mercy Clinic Family Medicine-El Dorado Springs)
• Robin Miller, PHARM.D.
• Stephanie Louise Miller, N.P.
• Patricia May Myers, MD
• New Growth Transit LLC
• Angelena Lynn Orear, FNP-
• Partners in Your Community, Inc.
• Tedi E. Payne

• Psychiatric/Mental Health Registered Nurse in El Dorado Springs, MO
• Providers in El Dorado Springs, MO by specialty
• Psychiatric/Mental Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.