KIMBERLY MOORE (NPI# 1235581869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235581869 |
| Entity Type | Individual |
| Full Name | KIMBERLY MOORE |
| Practice Address |
1340 S Waldron Rd Fort Smith AR 72903-2556 |
| Mailing Address |
Po Box 23070 Barling AR 72923-0070 |
| Practice Telephone | 4794525040 |
| Practice Fax Number | 4794525047 |
| Mailing Telephone | 4794525040 |
| Mailing Fax Number | 4794525047 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A1606077 | AR | Behavioral Health & Social Service Providers |
| 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 |
1340 S WALDRON RD |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295780088 | Terrence William Mcknight | Counselor | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2006-05-23 |
| 1093367138 | Chelsea Neal | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2019-07-09 |
| 1528526282 | Amber Flesher | Counselor | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2019-03-12 |
| 1821582446 | Caylee Garner | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2018-06-18 |
| 1215432364 | Lauren Post | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2018-03-29 |
| 1487167045 | Jeremy Henson | Counselor | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2017-11-06 |
| 1255843223 | Kyley Hood | Counselor | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2017-10-31 |
| 1992216519 | Jessica Nicole Swaim | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2017-10-23 |
| 1598276115 | Marsha Leanne Williams | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2017-10-23 |
| 1124540620 | Julia Marchese | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381927 | Eva Michelle Wood | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2019-11-19 |
| 1528511151 | Lisa Laney | Counselor | 4943 Old Greenwood Rd Ste 6, Fort Smith, AR 72903-6923 | 2016-08-01 |
| 1164887600 | Lori Brady | Counselor | 5401 Rogers Ave Ste 200, Fort Smith, AR 72903-3763 | 2015-12-29 |
| 1669879904 | Greenleaf Professional Counseling LLC | Counselor | 3514 Country Club Ave, Suite 2, Fort Smith, AR 72903-3300 | 2014-12-02 |
| 1235486085 | Sara Rone | Counselor | 4005 N 57th St, Fort Smith, AR 72904-3217 | 2012-08-11 |
| 1912271826 | Shawn Kispert | Counselor | 4313 S P St, Fort Smith, AR 72903-3103 | 2012-02-24 |
| 1629367743 | Angie Ramsey | Counselor | 1428 N 38th St, Fort Smith, AR 72904-6917 | 2011-03-29 |
| 1811228455 | Rachel Christine Olienyk | Counselor | 7701 South Zero Street, Fort Smith, AR 72917-1495 | 2010-01-21 |
| 1083813471 | Erin May Carroll | Counselor | 1340 S. Waldron, Fort Smith, AR 72903-2556 | 2007-07-16 |
| 1356547442 | Christa Means | Counselor | 4019 Massard Rd, Fort Smith, AR 72903-6221 | 2007-06-25 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on KIMBERLY MOORE.
| 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.