MRS. KIM MARIE MOORE (NPI# 1487916250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487916250 |
| Entity Type | Individual |
| Full Name | MRS. KIM MARIE MOORE |
| Credential | FNP-C |
| Practice Address |
1670 E 120th St N S Bldg Room 2c06 Los Angeles CA 90059-3026 |
| Practice Telephone | 4243381501 |
| Practice Fax Number | 3106323748 |
| Mailing Telephone | 4243381501 |
| Mailing Fax Number | 3106323748 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2014-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
513012 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134628894 | Kim Lanere Moore | Technician | 1832 Jack Rabbit Way, Las Vegas, NV 89128-2633 | 2018-02-08 |
| 1801064423 | Kim Ann Moore | Pharmacist | 2006 Hwy 35, Spring Lake, NJ 07762-2543 | 2008-02-17 |
| 1164638318 | Kim Carlson Moore | Pharmacist | Harmon's Pharmacy, 37 Harrisville Road, Ogden, UT 84404 | 2007-05-15 |
| 1396139143 | Kim Ann Moore | Social Worker | 2600 Redondo Ave Fl 3, Long Beach, CA 90806-2325 | 2015-03-18 |
| 1649678186 | Kim Moore | Physical Therapy Assistant | 148 Nw 1150th Rd, Chilhowee, MO 64733-8107 | 2014-12-16 |
| 1497193841 | Kim Jean Moore | Psychologist | 1400 Griffin Mill Rd, Easley, SC 29640-6929 | 2013-06-07 |
| 1568702512 | Kim Moore | Counselor | 1175 Canton St, First Floor, Roswell, GA 30075-3616 | 2013-02-27 |
| 1205140449 | Kim Moore | Case Manager/Care Coordinator | 1114 Yuba St, #207, Marysville, CA 95901-4838 | 2010-07-29 |
| Street Address |
1670 E 120TH ST N S BLDG ROOM 2C06 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275559528 | Clemens S Hong | Internal Medicine | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2006-07-13 |
| 1528670072 | Takema Cox | Student in an Organized Health Care Education/Training Program | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2020-08-17 |
| 1215575873 | Lauren Andrea Tuason | Pharmacy | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2019-12-13 |
| 1881244101 | Jwch Institute, Inc | Clinic/Center | 1670 E 120th St, West Support Bldg #14 Fl 1, Los Angeles, CA 90059-3026 | 2019-09-18 |
| 1043873250 | Wendy Olivia Glass Givens | Social Worker | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2019-04-15 |
| 1932662533 | Ian L Hao | Student in an Organized Health Care Education/Training Program | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2019-04-10 |
| 1669935342 | Felisha Eugenio | Student in an Organized Health Care Education/Training Program | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2019-04-10 |
| 1437611571 | Jesse Gomez | Student in an Organized Health Care Education/Training Program | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2019-04-05 |
| 1659833960 | Issareekorn Glaewketgarn | Student in an Organized Health Care Education/Training Program | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2019-04-04 |
| 1477015949 | Won Seok Shin | Student in an Organized Health Care Education/Training Program | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2019-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1528672110 | Christopher Tria Coronel | Nurse Practitioner | 3435 Garden Ave, Los Angeles, CA 90039-1919 | 2020-09-01 |
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1548884216 | En Route Medical Staffing LLC | Nurse Practitioner | 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451 | 2020-05-29 |
| 1922621432 | Latasha Tracy Warren | Nurse Practitioner | 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 | 2020-05-19 |
| 1578184966 | Shin Il Kim | Nurse Practitioner | 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 | 2020-04-27 |
| 1457971160 | Karen Kim-chang | Nurse Practitioner | 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 | 2020-04-22 |
| 1912534033 | Anthony Felipe Banuelos Villa | Nurse Practitioner | 3437 Ellison St, Los Angeles, CA 90063-1901 | 2020-03-26 |
| 1629605506 | Ana Yely Nunez Nunez | Nurse Practitioner | 6017 Miramonte Blvd, Los Angeles, CA 90001-1327 | 2020-03-23 |
| 1154957769 | Maybel Deguzman Dumlao | Nurse Practitioner | 4371 Stewart Ave, Los Angeles, CA 90066-6133 | 2020-03-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on MRS. KIM MARIE 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.