KIMBERLY AUNDREA MOORE


Address: 279 Summit Dr, Waterford, MI 48328-3364
Phone: 2487454900

KIMBERLY AUNDREA MOORE (NPI# 1528689205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528689205
Entity Type Individual
Full Name KIMBERLY AUNDREA MOORE
Practice Address 279 Summit Dr
Waterford
MI 48328-3364
Practice Telephone 2487454900
Mailing Telephone 2487454900
Enumeration Date 2020-05-04
Last Update Date 2020-05-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers KIMBERLY MOORE

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

Office Location

Street Address 279 SUMMIT DR
City WATERFORD
State MI
Zip Code 48328-3364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053364307 Mark Anthony Mitchell Social Worker 279 Summit Dr, Waterford, MI 48328-3364 2006-05-18
1699376533 Kiersten Gutherman Social Worker 279 Summit Dr, Waterford, MI 48328-3364 2020-11-06
1316551427 Doris Vernita Jenkins Social Worker 279 Summit Dr, Waterford, MI 48328-3364 2020-09-04
1477182491 Holly Richard Registered Nurse 279 Summit Dr, Waterford, MI 48328-3364 2020-04-02
1437784014 Diana L Tige Community Health Worker 279 Summit Dr, Waterford, MI 48328-3364 2020-03-04
1063046928 Amy Stern Social Worker 279 Summit Dr, Waterford, MI 48328-3364 2020-02-28
1225661382 Keith Albert Robinson Peer Specialist 279 Summit Dr, Waterford, MI 48328-3364 2020-02-18
1326671660 Kathy Sue Barber Peer Specialist 279 Summit Dr, Waterford, MI 48328-3364 2020-02-14
1023641388 Deundra Denise Fuller Peer Specialist 279 Summit Dr, Waterford, MI 48328-3364 2020-02-14
1336772862 Joshua Andrew Blanden Peer Specialist 279 Summit Dr, Waterford, MI 48328-3364 2020-02-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477184125 Lillian Atty Pharmacist 1484 Rivona Dr, Waterford, MI 48328 2020-01-31
1437631850 Rana Ismail Pharmacist 3273 West Huron St, Waterford, MI 48328 2018-09-01
1588181978 India Dunlap Social Worker 279 Summit Dr., Waterford, MI 48328 2017-08-25
1689191280 Sydney Strandberg Social Worker 1145 Parkway, Waterford, MI 48328 2017-08-24
1467982074 Briana Greenlee Dietitian, Registered 3819 Faber Terrace, Waterford, MI 48328 2017-06-15
1922537364 Lourdes Alzheimer's Special Care Custodial Care Facility 2400 Watkins Lake Rd, Waterford, MI 48328 2017-06-08
1013446459 Lourdes Assisted Living Assisted Living Facility 2450 Watkins Lake Rd, Waterford, MI 48328 2017-06-08
1588019053 Legacy Dermatology Group PC Dermatology 1392 S Cass Lake Rd, Waterford, MI 48328 2016-05-03
1932567989 Devenia Denise Clayter Counselor 255 Summit Dr, Waterford, MI 48328 2016-02-05
1922409739 Stacey Diggs Counselor 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 2014-09-11
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396127510 Timothy Tout II Peer Specialist 4150 Elmhurst Rd, Waterford, MI 48328-4029 2015-06-24
1225661382 Keith Albert Robinson Peer Specialist 279 Summit Dr, Waterford, MI 48328-3364 2020-02-18
1326671660 Kathy Sue Barber Peer Specialist 279 Summit Dr, Waterford, MI 48328-3364 2020-02-14
1023641388 Deundra Denise Fuller Peer Specialist 279 Summit Dr, Waterford, MI 48328-3364 2020-02-14
1336772862 Joshua Andrew Blanden Peer Specialist 279 Summit Dr, Waterford, MI 48328-3364 2020-02-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063026284 Leah Mae Sindone Peer Specialist 22324 Derby Rd, Woodhaven, MI 48183-3700 2020-09-04
1992314728 Willie Earl Feggins Peer Specialist 370 Country Club Rd, Holland, MI 49423-8303 2020-07-28
1831711613 John Lee Williams Jr. Peer Specialist 24400 Schoolcraft, Redford, MI 48239-2633 2020-05-14
1568084861 Zannie Roy Jackson Jr. Peer Specialist 36801 Ann Arbor Trl, Livonia, MI 48150-3422 2020-05-11
1417578865 Veronica R Vasquez Peer Specialist 500 Hancock St # 48602, Saginaw, MI 48602-4224 2020-04-27
1235768680 Matthew Milz Peer Specialist 145o S Lapeer Rd, Oxford, MI 48371-4982 2020-04-07
1558996132 Camille Jewell Jackson Peer Specialist 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 2020-03-04
1073146908 James Laroach Peer Specialist 913 W. Homes Suite 200, Lansing, MI 48910 2020-02-19
1578193827 Axel Lee Gruenberg Peer Specialist 221790 West 9 Mile, Southfield, MI 48033 2020-01-24
1962032078 Brianne Salchert Peer Specialist 1170 Michigan Rd., Port Huron, MI 48060 2020-01-17
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Competitor

Search similar providers

City WATERFORD
Zip Code 48328

Improve Information

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Dataset Information

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.

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