KIMBERLY ANN MOORE (NPI# 1992007751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992007751 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN MOORE |
| Other Name | KIMBERLY ANN BIECHLER |
| Practice Address |
1417 Las Vegas Blvd N Las Vegas NV 89101-1115 |
| Practice Telephone | 7023694357 |
| Mailing Telephone | 7023694357 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2015-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
01002 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1437594074 | 05 |
| 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 |
| Street Address |
1417 LAS VEGAS BLVD N |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89101-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598153330 | Meshayla Ennis | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2015-01-01 |
| 1699163675 | Ginger Lynn Davis | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2014-12-29 |
| 1548658636 | Crystina Louise Blaze | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2014-12-26 |
| 1073949434 | Linda Louise Stevens | Counselor | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-09-17 |
| 1457797508 | Shawn Joaquin Smith | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-16 |
| 1831535988 | Louis Edward Lacey Jr. | Psychologist | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-16 |
| 1467898585 | Joyce Ann Holys | Psychologist | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-15 |
| 1790121945 | Chauncey Monte Johnson | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-15 |
| 1275979395 | Jennifer N Harris | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-15 |
| 1083050108 | Carol Malone | Rehabilitation Practitioner | 1417 Las Vegas Blvd N, Las Vegas, NV 89101-1115 | 2013-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1598311862 | Catalina Ruiz-perez | Technician | 1420 James St., L, Las Vegas, NV 89101 | 2019-08-13 |
| 1053880831 | Samantha Okumura | Specialist/Technologist | 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 | 2018-11-21 |
| 1447752860 | Ratref T Havlin | Technician | 1820 East Bonanza Apt 1, Las Veges, NV 89101 | 2018-03-01 |
| 1396255808 | David Markus Stevens | Technician/Technologist | 930 N. 4th Street, Las Vegas, NV 89101 | 2017-10-10 |
| 1447789888 | Dustin Douglas | Driver | 50 N 21 St #139, Las Vegas, NV 89101 | 2017-06-08 |
| 1013389535 | Direct Scripts Mail, LLC | Pharmacy | 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 | 2015-10-23 |
| 1699169920 | Westcare Nevada Inc | Community/Behavioral Health | 323 N Maryland Parkway, Las Vegas, NV 89101 | 2015-03-25 |
| 1639574262 | Misty Davis | Registered Nurse | 930 N. 4th St., Las Vegas, NV 89101 | 2014-10-24 |
| Find all providers in zip 89101 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200723 | Bauza Neuropsychiatry Center LLC | Counselor | 4268 Roanridge Ave, Las Vegas, NV 89120-2113 | 2020-09-16 |
| 1306451711 | Crest Healthcare Inc. | Counselor | 3275 S Jones Blvd Ste 106, Las Vegas, NV 89146-6768 | 2020-09-11 |
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1831707975 | Jennifer Fluharty | Counselor | 8934 Candice Creek Ct, Las Vegas, NV 89149-3263 | 2020-07-15 |
| 1225666597 | Gwendolyn Mallory | Counselor | 4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102-3648 | 2020-03-31 |
| 1134754120 | Shelley Denise Sargent | Counselor | 10593 Harvest Green Way, Las Vegas, NV 89135-1245 | 2020-03-10 |
| 1720610637 | Dsa Technoligies LLC | Counselor | 9504 City Hill Ct, Las Vegas, NV 89134-1711 | 2020-02-08 |
| 1811532781 | Melanie Fedraw | Counselor | 3661 S Maryland Pkwy Ste 64, Las Vegas, NV 89169-3005 | 2019-11-14 |
| 1457906729 | Elizabeth Ann Morris | Counselor | 7408 Mountain Thicket St, Las Vegas, NV 89131-4542 | 2019-08-05 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| Find all providers in LAS VEGAS | ||||
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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.