KIMBERLY SUE MOORE (NPI# 1013518661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013518661 |
| Entity Type | Individual |
| Full Name | KIMBERLY SUE MOORE |
| Credential | NP |
| Practice Address |
1196 Sardis Rd Mount Olivet KY 41064-7580 |
| Mailing Address |
Po Box 341 Mount Olivet KY 41064-0341 |
| Practice Telephone | 6068420258 |
| Mailing Telephone | 6068420258 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3014345 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668878 | Kimberly Dawn Moore | Technician | 1211 Chapps Fork Rd, Charleston, WV 25312-7702 | 2020-10-27 |
| 1487117966 | Kimberly Dawn Moore | Counselor | 6315 Aylesworth Ave, Lincoln, NE 68505-1276 | 2019-04-10 |
| 1679051981 | Kimberly Ann Moore | Social Worker | 1 Richmond Sq Ste 333, Providence, RI 02906-5139 | 2018-07-31 |
| 1003352501 | Kimberly Ann Moore | Pharmacist | 174 Dapplegray Rd, Bell Canyon, CA 91307-1011 | 2017-01-09 |
| 1336596790 | Kimberly Moore | Counselor | 117 W 130th St, New York, NY 10027-2007 | 2016-05-16 |
| 1013300953 | Kimberly Moore | Occupational Therapist | 217 Bainbridge Cir, Muscle Shoals, AL 35661-4320 | 2015-03-17 |
| 1710390521 | Kimberly Moore | Speech-Language Pathologist | 660 Barnett Shoals Rd Apt 211, Athens, GA 30605-7613 | 2014-06-09 |
| 1841568706 | Kimberly Ann Moore | Physical Therapy Assistant | 1109 W 21st St, Lawrence, KS 66046-2831 | 2011-12-07 |
| 1710265368 | Kimberly Dawn Moore | Nurse Practitioner | 814 South 3rd Street, Minneapolis, MN 55415 | 2011-08-01 |
| 1740570191 | Kimberly Blevins Moore | Pharmacist | 125 N. Main Street, Stanton, KY 40380 | 2011-04-19 |
| Street Address |
1196 SARDIS RD |
| City | MOUNT OLIVET |
| State | KY |
| Zip Code | 41064-7580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942793377 | Buffalo Trace District Health Department | Public Health or Welfare | 1760 Sardis Road, Mt. Olivet, KY 41064 | 2018-06-11 |
| 1023560661 | Robertson Operations, LLC | Skilled Nursing Facility | Route 2 Hwy 62, Mt. Olivet, KY 41064 | 2016-10-31 |
| 1356554398 | Robertson Co Health Dept | Public Health or Welfare | 45 Mcdowell Street, Mt. Olivet, KY 41064 | 2007-05-07 |
| 1700932936 | Robertson County Board of Education | Local Education Agency (LEA) | 181 N .main St., Mt. Olivet, KY 41064-0168 | 2007-01-29 |
| 1437799301 | Lauren Hughes | Developmental Therapist | 4736 Sardis Rd, Mount Olivet, KY 41064-7636 | 2020-01-08 |
| 1881056281 | Laura Ross | Occupational Therapist | 1030 Kentontown Rd, Mount Olivet, KY 41064-7649 | 2016-03-24 |
| 1417118225 | Healthpoint Family Care, Inc. | Clinic/Center | 194 N Main St, Mount Olivet, KY 41064-8301 | 2008-06-24 |
| 1831188440 | Robertson Manor LLC | Skilled Nursing Facility | Rr 2, Mount Olivet, KY 41064-9781 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799301 | Lauren Hughes | Developmental Therapist | 4736 Sardis Rd, Mount Olivet, KY 41064-7636 | 2020-01-08 |
| 1881056281 | Laura Ross | Occupational Therapist | 1030 Kentontown Rd, Mount Olivet, KY 41064-7649 | 2016-03-24 |
| 1417118225 | Healthpoint Family Care, Inc. | Clinic/Center | 194 N Main St, Mount Olivet, KY 41064-8301 | 2008-06-24 |
| 1831188440 | Robertson Manor LLC | Skilled Nursing Facility | Rr 2, Mount Olivet, KY 41064-9781 | 2005-10-17 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| 1275132433 | Jolene Carol Schmucker | Nurse Practitioner | 775 Pembroke Fairview Rd, Pembroke, KY 42266-9413 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT OLIVET |
| Zip Code | 41064 |
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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.