MS. KELLY R. MOORE (NPI# 1366880809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366880809 |
| Entity Type | Individual |
| Full Name | MS. KELLY R. MOORE |
| Credential | LMSW |
| Practice Address |
8000 W 127th St Overland Park KS 66213-2714 |
| Practice Telephone | 9139514300 |
| Practice Fax Number | 9139514321 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 8519 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901233 | Kelly Lynn Moore | Counselor | 11111 E Mississippi Ave Ste 268, Aurora, CO 80012-3106 | 2019-09-13 |
| 1962981563 | Kelly Moore | Massage Therapist | 1776 S Jackson St Ste 830, Denver, CO 80210-3807 | 2018-08-14 |
| 1134619018 | Kelly Michelle Moore | Social Worker | 446 Pinecrest Cir, Long Beach, MS 39560-3639 | 2018-05-16 |
| 1932630902 | Kelly Moore | Optometrist | 1611 Plummer St #112e, North Hills, CA 91403-2036 | 2017-03-22 |
| 1780128942 | Kelly Renee Moore | Nurse Practitioner | 224 Margaret Michelle Ct, Saint Peters, MO 63376-4812 | 2016-12-07 |
| 1568817369 | Kelly Moore | Skilled Nursing Facility | 29 Nonotuck Rd, West Springfield, MA 01089-1616 | 2016-04-28 |
| 1588042980 | Kelly Moore | Registered Nurse | 1507 Broad Blvd, Cuyahoga Falls, OH 44223-2434 | 2015-05-18 |
| 1770977563 | Kelly Moore | Registered Nurse | 1120 Huffman Rd Ste 24-787, Anchorage, AK 99515-3516 | 2015-03-19 |
| 1790106342 | Kelly Ann Moore | Behavioral Analyst | 17845 Ridgeland Ave, Tinley Park, IL 60477-4383 | 2013-12-29 |
| 1720327570 | Kelly Moore | Occupational Therapy Assistant | 1848 E Gemini Dr, Tempe, AZ 85283-6000 | 2013-02-13 |
| Street Address |
8000 W 127TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750361119 | Marillac Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8000 W 127th St, Overland Park, KS 66213-2714 | 2006-01-20 |
| 1679196174 | Dimas Omar Benitez | Behavior Technician | 8000 W 127th St, Overland Park, KS 66213-2714 | 2020-05-19 |
| 1497287783 | Jordan Pener | Counselor | 8000 W 127th St, Overland Park, KS 66213-2714 | 2017-03-28 |
| 1982141420 | Jason Southard | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2017-01-23 |
| 1982066759 | Britney Compton | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2016-03-22 |
| 1881088581 | Ashley Dugan | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2015-03-20 |
| 1942606280 | Katharine Olson | Counselor | 8000 W 127th St, Overland Park, KS 66213-2714 | 2014-11-14 |
| 1548680507 | Caitlin Mellencamp Winder | Psychiatry & Neurology | 8000 W 127th St, Overland Park, KS 66213-2714 | 2014-04-17 |
| 1023436862 | David Strother | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2014-03-30 |
| 1689001612 | Sharnee Garner | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2013-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629531827 | Andrea Peck | Social Worker | 6701 W 64th St Ste 109, Overland Park, KS 66202-4175 | 2019-04-13 |
| 1194284141 | Aisha Shaw | Social Worker | 11726 Monrovia St, Overland Park, KS 66210-1396 | 2019-03-19 |
| 1760940605 | Reinvision Emotional Wellness Center | Social Worker | 10870 Benson Dr Ste 2170, Overland Park, KS 66210-1509 | 2019-03-11 |
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1881182400 | Hannah Archer | Social Worker | 6420 W 95th St Ste 100, Overland Park, KS 66212-1434 | 2018-04-30 |
| 1053825547 | Curt Breckenridge Mundis | Social Worker | 11011 King St Ste 237, Overland Park, KS 66210-3210 | 2017-11-21 |
| 1417460445 | Laura J Stallbaumer | Social Worker | 6801 W 121st St Ste 104, Overland Park, KS 66209-2005 | 2017-11-13 |
| 1861938615 | Meghan Suman | Social Worker | 6420 W 95th St, Overland Park, KS 66212-1433 | 2017-01-17 |
| 1679019814 | Chelsea Lynn Farmer | Social Worker | 10228 Kessler St Apt A, Overland Park, KS 66212-5357 | 2017-01-11 |
| 1538529003 | Cindy Sykes | Social Worker | 8402 Lowell Ave, Overland Park, KS 66212 | 2016-02-26 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.