DR. KIMERLI PLUMB-MOORE (NPI# 1477540086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477540086 |
| Entity Type | Individual |
| Full Name | DR. KIMERLI PLUMB-MOORE |
| Other Name | DR. KIMERLI MOORE |
| Credential | M.D. |
| Practice Address |
1484 Lakeside Drive Jackson KY 41339-6555 |
| Mailing Address |
Po Box 690 141 Main Street Beattyville KY 41311-0690 |
| Practice Telephone | 6066669950 |
| Practice Fax Number | 6066669136 |
| Mailing Telephone | 6064640151 |
| Mailing Fax Number | 6064640152 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 26703 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64267032 | 05 |
| Street Address |
1484 LAKESIDE DRIVE |
| City | JACKSON |
| State | KY |
| Zip Code | 41339-6555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396739413 | Bridget Christina Turner | Social Worker | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2005-09-02 |
| 1124488903 | Beverly Dawn Ellis | Nurse Practitioner | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2016-03-07 |
| 1871980003 | Brittany Moore Fugate | Internal Medicine | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2015-04-27 |
| 1730585035 | Samantha Sharron Lewis | Nurse Practitioner | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2014-11-13 |
| 1477818896 | Allison Michelle Manning | Nurse Practitioner | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2012-07-11 |
| 1457631780 | Jenny Faye Mullins | Family Medicine | 1484 Lakeside Drive, Jhi Breathitt County Family Health Center, Jackson, KY 41339-6555 | 2011-08-17 |
| 1174836662 | Rebecca K Smith | Social Worker | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2010-07-26 |
| 1376631283 | Derrick Jack Hamilton | Internal Medicine | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2006-10-10 |
| 1891891388 | Edgar A D Mendoza | Pediatrics | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2006-09-15 |
| 1467417691 | Juniper Health Inc | Dentist | 1484 Lakeside Drive, Jackson, KY 41339-7370 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1871191734 | Ranita Greer | Pharmacist | 59 Ky-15 N, Jackson, KY 41339 | 2020-10-13 |
| 1336763135 | Jill Elaine Beattie Green | Occupational Therapist | 100 Ky-15, Jackson, KY 41339 | 2020-06-08 |
| 1023641446 | Andreanna Gibbs | Physical Therapy Assistant | 100 Hwy 15, Jackson, KY 41339 | 2020-02-13 |
| 1144797754 | Visionary Rehabilitation Services, LLC | Speech-Language Pathologist | 100 Kentucky Hwy 15 South, Suite 136, Jackson, KY 41339 | 2018-11-01 |
| 1477081206 | Trending Upwards | Counselor | 1754 Highway 15 N, Jackson, KY 41339 | 2017-05-24 |
| 1508225996 | Jessica Williams | Pharmacist | 842 Highway 15 N, Jackson, KY 41339 | 2016-02-15 |
| 1245637255 | Breathitt County Ambulance, Inc. | Ambulance | 440 Highway 1812 North, Jackson, KY 41339 | 2014-11-20 |
| 1265784045 | Jonathan Charles Morris | Physical Therapist | 695 Ky Hwy 15 N, Ste 3, Jackson, KY 41339 | 2012-10-04 |
| 1649539958 | Henry Price Sewell IIi IIi | Family Medicine | 170 Picnic Hill Rd, Jackson, KY 41339 | 2012-05-07 |
| Find all providers in zip 41339 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224895 | Vpa PC | Pediatrics | 111 E Capitol St Ste 215, Jackson, MS 39201-2108 | 2020-04-21 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1891145850 | Abdullah Sharaf | Pediatrics | 760 W Franklin St # 49201, Jackson, MI 49201-2048 | 2016-06-20 |
| 1427427152 | Karin L Klee Md | Pediatrics | 555 E Broadway Ave Ste 216, Jackson, WY 83001-8640 | 2015-09-23 |
| 1073992699 | Muna Balkash | Pediatrics | 4645 Eagle Dr, Jackson, MI 49201-9748 | 2015-05-28 |
| 1295147809 | Jayasree Vasudevan Nair | Pediatrics | 100 Mission Blvd Ste 2600, Jackson, CA 95642-2536 | 2014-05-30 |
| 1669891099 | Jacquelin Foss Hardenbrook | Pediatrics | 555 E Broadway Ave Ste 202, Jackson, WY 83001-8640 | 2014-04-14 |
| 1871805093 | Jesse Alfred Miller Jr. | Pediatrics | 1804 Hwy 45 Bypass, Jackson, TN 38305 | 2010-07-02 |
| 1861647489 | Elizabeth Keeling Hensley | Pediatrics | 2046 Petit Bois St S, Jackson, MS 39211-6709 | 2008-11-24 |
| 1942469606 | The Children's Clinic of West Tennessee P.a. | Pediatrics | 264 Coatsland Dr, Jackson, TN 38301-3948 | 2008-06-06 |
| Find all providers in JACKSON | ||||
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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.