KELLY MOORE (NPI# 1477837516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477837516 |
| Entity Type | Individual |
| Full Name | KELLY MOORE |
| Credential | APRN |
| Practice Address |
311 Route 108 Somersworth NH 03878-1522 |
| Mailing Address |
12 Redden St Dover NH 03820-2611 |
| Practice Telephone | 6037492346 |
| Mailing Telephone | 9784303795 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
065266-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
065266-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
065266-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | APRN LICENSE | 065266-23 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Campus Dr, Portsmouth, NH 038015892 | 6034228208 |
| 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 |
311 ROUTE 108 |
| City | SOMERSWORTH |
| State | NH |
| Zip Code | 03878-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033109095 | Danette T Colella | Pediatrics | 311 Route 108, Somersworth, NH 03878-1522 | 2005-10-21 |
| 1558991000 | Emily Adeline Grattan | Student in an Organized Health Care Education/Training Program | 311 Route 108, Somersworth, NH 03878-1522 | 2020-01-23 |
| 1811537889 | Marissa Lee Labbe | Social Worker | 311 Route 108, Somersworth, NH 03878-1522 | 2020-01-08 |
| 1548800519 | Nicole Marie Bates | Social Worker | 311 Route 108, Somersworth, NH 03878-1522 | 2020-01-08 |
| 1558826214 | Michael Joseph Robustelli | Nurse Practitioner | 311 Route 108, Somersworth, NH 03878-1522 | 2019-02-07 |
| 1093299539 | Christopher Paul Trask | Counselor | 311 Route 108, Somersworth, NH 03878-1522 | 2018-09-20 |
| 1972018885 | Deirore A Boryszewski | Community Health Worker | 311 Route 108, Somersworth, NH 03878-1522 | 2017-12-14 |
| 1215442124 | Laina M Reavis | Community Health Worker | 311 Route 108, Somersworth, NH 03878-1522 | 2017-12-14 |
| 1528573540 | John Burns | Community Health Worker | 311 Route 108, Somersworth, NH 03878-1522 | 2017-12-13 |
| 1407379902 | Terra Wilkins | Family Medicine | 311 Route 108, Somersworth, NH 03878-1522 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207395 | Foojan Ghahramani | Counselor | Hcrc, 200 Nh-108, Somersworth, NH 03878 | 2019-07-19 |
| 1649760422 | Tanya Lee Thompson | Counselor | 200 Nh-108, Somersworth, NH 03878 | 2018-05-16 |
| 1427588177 | Tri City Counseling | Clinic/Center | 150 West High St, Somersworth, NH 03878 | 2017-06-15 |
| 1952780405 | Stephanie Slate | Dentist | 158c Route 108, Somersworth, NH 03878 | 2015-05-29 |
| 1528446085 | Ann F Fisher | Nurse Practitioner | 296 Maine St, Haverhilll, MA 03878 | 2015-05-15 |
| 1235567264 | Wentworth Surgery Center, LLC | Clinic/Center | 6 Works Way, Somersworth, NH 03878 | 2013-10-30 |
| 1255601241 | Seacoast Business & Health Clinic Inc | Physical Therapist | 396 High St Ste 1, Seacoast Redicare, Somersworth, NH 03878 | 2012-01-06 |
| 1043505209 | Matthew Donohue | Physical Therapist | 7 Marsh Brook Drive, Suite 101, Somersworth, NH 03878 | 2011-06-16 |
| 1013050558 | Elizabeth Nelson | Registered Nurse | Goodwin Community Health 311 Route 108, Somersworth, NH 03878 | 2007-02-15 |
| 1811057581 | William C Brewster | Internal Medicine | 396 High Street, Seacoast Redicare, Somersworth, NH 03878 | 2006-12-11 |
| Find all providers in zip 03878 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043319783 | Lynne Michelle Henning | Nurse Practitioner | 100 Campus Dr, Suite 12, Portsmouth, NH 03801-5892 | 2006-09-21 |
| 1619986361 | Phyllis A Hagan | Nurse Practitioner | 128 Route 27, Raymond, NH 03077-1220 | 2006-08-05 |
| City | SOMERSWORTH |
| Zip Code | 03878 |
Please comment or provide details below to improve the information on KELLY 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.