KAYLA D MOORER (NPI# 1992201917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992201917 |
| Entity Type | Individual |
| Full Name | KAYLA D MOORER |
| Credential | PHD, LP |
| Practice Address |
1330 Page Dr S Ste 102a Fargo ND 58103-3562 |
| Mailing Address |
1204 12th St S Moorhead MN 56560-3708 |
| Practice Telephone | 7014786604 |
| Mailing Telephone | 6015805453 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
564 | ND | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
2949 | OR | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
2949 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1476477 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 132 E Broadway Ste 301, Eugene, OR 97401 | 5418528862 | |
| 677 E 12th Ave Ste 400, Eugene, OR 974013611 | 5413463227 |
| Street Address |
1330 PAGE DR S STE 102A |
| City | FARGO |
| State | ND |
| Zip Code | 58103-3562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306227459 | Farryn Helm | Counselor | 1330 Page Dr S Ste 102a, Fargo, ND 58103-3562 | 2015-06-15 |
| 1912551797 | Helm Therapy Services, LLC | Clinic/Center | 1330 Page Dr S Ste 102a, Fargo, ND 58103-3562 | 2019-07-30 |
| 1184278004 | Dr. Kayla Moorer, Psychologist, LLC | Clinic/Center | 1330 Page Dr S Ste 102a, Fargo, ND 58103-3562 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285731802 | Terence W Barrett | Psychologist | 115 University Dr N, Fargo, ND 58102-4667 | 2006-09-17 |
| 1003300187 | Jaryn Lynn Allen | Psychologist | 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104-8647 | 2018-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285940304 | Pejcharat Jane Harvey | Psychologist | Mccannell Hall, Room 200, Grand Forks, ND 58202-9042 | 2010-08-26 |
| 1659651933 | Rachel L Navarro | Psychologist | 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201-5895 | 2011-08-18 |
| 1285912840 | Greg Decker | Psychologist | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2011-08-01 |
| 1316140346 | David H. Whitcomb | Psychologist | 2100 S Columbia Rd, Grand Forks, ND 58201-5895 | 2007-06-07 |
| 1902992324 | Judith Ann Haynes | Psychologist | 1407 24th Ave S, Grand Forks, ND 58201-6761 | 2006-10-04 |
| 1700972122 | Agassiz Associates, Pllc | Psychologist | 2424 32nd Ave S, Ste 202, Grand Forks, ND 58201-6545 | 2006-10-04 |
| 1023035102 | Kara Brita Wettersten | Psychologist | 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201-5895 | 2006-07-16 |
Please comment or provide details below to improve the information on KAYLA D MOORER.
| 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.