JEREMY MOORE CRNA NPI 1003425117

NPI Information

  • NPI: 1003425117
  • Provider Name: JEREMY MOORE, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: USNMRTU IWAKUNI BLDG 110 MCAS IWAKUNI
    1 MISUMI MACHI
    IWAKUNI, YAMAGUCHI
    ZIP 74002
  • Phone: (816) 738-9389

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NPI Details

Jeremy Moore, CRNA is a nurse anesthetist certified registered in Iwakuni, YAMAGUCHI. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Jeremy Moore, CRNA NPI is 1003425117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

USNMRTU IWAKUNI BLDG 110 MCAS IWAKUNI
1 MISUMI MACHI
IWAKUNI, YAMAGUCHI
ZIP 74002-
Phone: (816) 738-9389

The NPI 1003425117 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2020 and was last updated on 8/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified Registered127595MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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