KIMBERLY DAWN MOORE (NPI# 1528668878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528668878 |
Entity Type | Individual |
Full Name | KIMBERLY DAWN MOORE |
Practice Address |
1211 Chapps Fork Rd Charleston WV 25312-7702 |
Practice Telephone | 3049515438 |
Mailing Telephone | 3049515438 |
Enumeration Date | 2020-10-27 |
Last Update Date | 2020-10-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
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 |
1740570191 | Kimberly Blevins Moore | Pharmacist | 125 N. Main Street, Stanton, KY 40380 | 2011-04-19 |
Street Address |
1211 CHAPPS FORK RD |
City | CHARLESTON |
State | WV |
Zip Code | 25312-7702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609362391 | Ten Up Ministries, Inc | Counselor | 6697 Rocky Fork Road, Charleston, WV 25312 | 2018-07-05 |
1215443890 | Jodie Louise Carr | Technician | 52 Bayles Drive, Charleston, WV 25312 | 2017-12-19 |
1760886824 | First Settlement Physical Therapy | Physical Therapist | 6281 Sissonville Dr, Suite B, Charleston, WV 25312 | 2014-10-20 |
1790947000 | Gavin Neil Hogue | Preventive Medicine | 102 Patrick St, Charleston, WV 25312 | 2008-06-27 |
1942487822 | Kines Family Pharmacy Inc | Pharmacy | 6097 Sissonville Dr, Charleston, WV 25312 | 2008-01-23 |
1447336870 | Sissonville Dental Care Center | Dentist | 1086 Martins Branch Road, Charleston, WV 25312 | 2006-10-27 |
1497838981 | Philip Andrew Vicini | Dentist | 2018 Martins Branch Drive, Sissonville, WV 25312 | 2006-10-20 |
1487752085 | Charles Lester Smith | Dentist | 1501 7th Ave, Charleston, WV 25312 | 2006-09-20 |
1710085246 | Richard Duff Smith | Dentist | 1501 Seventh Avenue, Charleston, WV 25312 | 2006-09-20 |
1144337395 | Jon Christopher Smith | Dentist | 1501 Seventh Ave, Charleston, WV 25312 | 2006-08-24 |
Find all providers in zip 25312 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063402 | Jovon Minimah-beane | Technician | 612 Virginia St E Ste 300, Charleston, WV 25301-2175 | 2020-11-06 |
1811598832 | Jessica Nogoda | Technician | 1002 Hillcrest Dr E, Charleston, WV 25311-1612 | 2020-11-05 |
1245831221 | Jeriaha Hall | Technician | 2511 Washington St E Apt C, Charleston, WV 25311-2316 | 2020-11-05 |
1679174957 | Shasta Lashea Evans | Technician | 5916 Starling Dr, Charleston, WV 25306-6045 | 2020-11-04 |
1184225476 | Darlene Lacy-carter | Technician | 1406 Milton Street, Charleston, WV 25311 | 2020-11-04 |
1851992135 | Shonda Latoya Leach | Technician | 821 Westminister Way, Charleston, WV 25314-2015 | 2020-11-04 |
1265033559 | Nancy Galvan | Technician | 4587 Kanawha State Forrest Dr., Charleston, WV 25314 | 2020-11-04 |
1093316424 | Emma Mccloud | Technician | 710 Colony Dr., Charleston, WV 25314 | 2020-11-03 |
1760083190 | Terri Lea James | Technician | 5810 Church Dr., Charleston, WV 25306 | 2020-11-03 |
1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25312 |
Please comment or provide details below to improve the information on KIMBERLY DAWN 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.