KATHERINE ROYA MOORE (NPI# 1972078046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972078046 |
| Entity Type | Individual |
| Full Name | KATHERINE ROYA MOORE |
| Other Name | KATHERINE ROYA MOINI |
| Credential | APRN-CNP |
| Practice Address |
415 W Gore Blvd Lawton OK 73501-3710 |
| Mailing Address |
2405 Ne 135th St Lawton OK 73507-9793 |
| Practice Telephone | 5806957374 |
| Mailing Telephone | 5806957374 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
88772 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2405 Ne 135th St, Lawton, OK 735079793 | 5806957374 | |
| 5602 Sw Lee Blvd, Lawton, OK 735059699 | 5805316448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719024 | Katherine Elizabeth Moore | Behavioral Analyst | 49 Cannonball Rd, Wanaque, NJ 07465-1048 | 2020-01-14 |
| 1184052870 | Katherine Ruth Moore | Pharmacist | 1115 South Us Highway 64, Manteo, NC 27954 | 2013-10-16 |
| 1356688600 | Katherine Dianne Moore | Occupational Therapist | 708 Irving St, Alhambra, CA 91801-3266 | 2013-01-07 |
| 1831364611 | Katherine Alford Moore | Family Medicine | 8000 Liberty Pkwy Ste 114, Vestavia, AL 35242-7563 | 2008-04-23 |
| 1164558136 | Katherine Atran Moore | Counselor | 840 Olive St, Yuba City, CA 95991-3922 | 2007-02-26 |
| 1619598109 | Katherine Rose Moore | Case Manager/Care Coordinator | 421 Nebraska St, Sturgeon Bay, WI 54235-2225 | 2020-05-06 |
| 1467080846 | Katherine Moore | Social Worker | 1151 Pocono Blvd, Coolbaugh, PA 18466 | 2020-03-31 |
| 1740834316 | Katherine Moore | Nurse Practitioner | 891 W Locust St, Wilmington, OH 45177 | 2019-07-31 |
| 1669033775 | Katherine D Moore | Student in an Organized Health Care Education/Training Program | 2627 Riverside Ave, Jacksonville, FL 32204-4712 | 2019-06-28 |
| 1740757921 | Katherine E Moore | Behavioral Analyst | 32207 Tamina Rd, Magnolia, TX 77354-2556 | 2018-10-25 |
| Street Address |
415 W GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003002916 | James Bernerd Clevering | Dentist | 415 W Gore Blvd, Lawton, OK 73501-3710 | 2007-09-25 |
| 1548875545 | House Calls Direct Pllc | Family Medicine | 415 W Gore Blvd, Lawton, OK 73501-3710 | 2020-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414628 | Kimberly Noelle Hanley | Nurse Practitioner | 4411 W Gore Blvd Ste A, Lawton, OK 73505-6016 | 2020-07-08 |
| 1871133835 | Jeannie Marie Wyrick | Nurse Practitioner | 1805 Nw Arlington Ave, Lawton, OK 73507-6310 | 2020-01-07 |
| 1780234690 | Candace Michelle Flournoy | Nurse Practitioner | 3201 W Gore Blvd Ste 103, Lawton, OK 73505-6350 | 2019-09-13 |
| 1073071940 | Kimberly Ann Turnipseed | Nurse Practitioner | 6104 Nw Williams Ave, Lawton, OK 73505-1320 | 2019-03-08 |
| 1962980631 | Piettra Santos Alves | Nurse Practitioner | 5606 Sw Lee Blvd Ste 301, Lawton, OK 73505-9618 | 2018-08-03 |
| 1639670649 | Isabelle Zlatnik | Nurse Practitioner | 4411 W Gore Blvd Ste B1, Lawton, OK 73505-5977 | 2018-02-25 |
| 1932627387 | Tonya Bardsher | Nurse Practitioner | 916 Sw 38th St Ste D, Lawton, OK 73505-7005 | 2017-09-06 |
| 1063882140 | Theleka Williams | Nurse Practitioner | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2015-10-01 |
| 1255708012 | Shannon Ballou | Nurse Practitioner | 3811 W Gore Blvd Ste 6, Lawton, OK 73505-6328 | 2015-08-27 |
| 1437553252 | Ada Diann Johnson | Nurse Practitioner | 5050 Sw Lee Blvd, Lawton, OK 73505 | 2014-10-22 |
| Find all providers in LAWTON | ||||
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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.