KIMBERLY MOORE (NPI# 1013526201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013526201 |
| Entity Type | Individual |
| Full Name | KIMBERLY MOORE |
| Practice Address |
1333 W Washington St Stephenville TX 76401-4168 |
| Mailing Address |
1650 W Lingleville Rd Apt 107 Stephenville TX 76401-1825 |
| Practice Telephone | 2549689175 |
| Mailing Telephone | 9106504237 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
AT8208 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUECROSS BLUESHIELD | ZGP529006652 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 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 |
| Street Address |
1333 W WASHINGTON ST |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982939112 | Stephanie Faye Nelson | Specialist/Technologist | 1333 W Washington St, Stephenville, TX 76401-4168 | 2009-10-06 |
| 1811594443 | Leynah Flores | Student in an Organized Health Care Education/Training Program | 1333 W Washington St, Stephenville, TX 76401-4168 | 2020-10-06 |
| 1467080317 | Miranda Ellis | Specialist/Technologist | 1333 W Washington St, Stephenville, TX 76401-4168 | 2020-03-27 |
| 1396377438 | Taylor D Kimbrell | Student in an Organized Health Care Education/Training Program | 1333 W Washington St, Stephenville, TX 76401-4168 | 2020-02-06 |
| 1881239424 | Sellena Margarita Burger-fennell | Student in an Organized Health Care Education/Training Program | 1333 W Washington St, Stephenville, TX 76401-4168 | 2019-11-07 |
| 1033670880 | Nathalie A De La Torre | Specialist/Technologist | 1333 W Washington St, Stephenville, TX 76401-4168 | 2019-03-26 |
| 1376017699 | Keandra Chante Gray | Specialist/Technologist | 1333 W Washington St, Stephenville, TX 76401-4168 | 2019-01-21 |
| 1033683784 | Rachel Young | Specialist/Technologist | 1333 W Washington St, Stephenville, TX 76401-4168 | 2019-01-16 |
| 1023582145 | Matthew Golden | Student in an Organized Health Care Education/Training Program | 1333 W Washington St, Stephenville, TX 76401-4168 | 2019-01-12 |
| 1760966444 | Jessica Anderson Foster | Specialist/Technologist | 1333 W Washington St, Stephenville, TX 76401-4168 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| Taxonomy Code | 2083S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Sports Medicine |
| A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506538 | Regenerate Atx Pllc | Preventive Medicine | 11610 Fm 2244 Rd Ste 230, Austin, TX 78738-5457 | 2020-07-28 |
| 1063057602 | Heather Penka | Preventive Medicine | 820 Holiday Ln, North Richland Hills, TX 76180 | 2019-11-07 |
| 1588030241 | Texas A&m University | Preventive Medicine | 12 John David Crow Blvd, College Station, TX 77843 | 2015-08-18 |
| 1952378556 | David B. Tsai, M.d., P.a. | Preventive Medicine | 210 Barton Springs Rd, Suite 200, Austin, TX 78704-1254 | 2006-03-02 |
| 1104382936 | Ashley Christine Wagner | Preventive Medicine | 3724 Executive Center Dr Ste G10, Austin, TX 78731-1665 | 2019-02-18 |
| 1891269056 | Deidre Bibb | Preventive Medicine | 1814 Roseland Blvd Ste 100, Tyler, TX 75701-4262 | 2019-01-21 |
| 1891169686 | Tracy Coleman IIi | Preventive Medicine | 6000 Eldorado Pkwy, Apt# 222, Frisco, TX 75033-3573 | 2015-11-17 |
| City | STEPHENVILLE |
| Zip Code | 76401 |
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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.