KELLY MOORE


Address: 1120 Huffman Rd Ste 24-787, Anchorage, AK 99515-3516
Phone: 9072254350

KELLY MOORE (NPI# 1770977563) 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) 1770977563
Entity Type Individual
Full Name KELLY MOORE
Practice Address 1120 Huffman Rd Ste 24-787
Anchorage
AK 99515-3516
Practice Telephone 9072254350
Enumeration Date 2015-03-19
Last Update Date 2020-11-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 37437 AK Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
162387 AK Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY MOORE

NPI Name Taxonomy Address Enumeration
1457901233 Kelly Lynn Moore Counselor 11111 E Mississippi Ave Ste 268, Aurora, CO 80012-3106 2019-09-13
1962981563 Kelly Moore Massage Therapist 1776 S Jackson St Ste 830, Denver, CO 80210-3807 2018-08-14
1134619018 Kelly Michelle Moore Social Worker 446 Pinecrest Cir, Long Beach, MS 39560-3639 2018-05-16
1932630902 Kelly Moore Optometrist 1611 Plummer St #112e, North Hills, CA 91403-2036 2017-03-22
1780128942 Kelly Renee Moore Nurse Practitioner 224 Margaret Michelle Ct, Saint Peters, MO 63376-4812 2016-12-07
1568817369 Kelly Moore Skilled Nursing Facility 29 Nonotuck Rd, West Springfield, MA 01089-1616 2016-04-28
1588042980 Kelly Moore Registered Nurse 1507 Broad Blvd, Cuyahoga Falls, OH 44223-2434 2015-05-18
1790106342 Kelly Ann Moore Behavioral Analyst 17845 Ridgeland Ave, Tinley Park, IL 60477-4383 2013-12-29
1720327570 Kelly Moore Occupational Therapy Assistant 1848 E Gemini Dr, Tempe, AZ 85283-6000 2013-02-13
1578845913 Kelly Moore Counselor 38 Gray St, Asheville, NC 28801-2118 2011-09-12

Office Location

Street Address 1120 HUFFMAN RD STE 24-787
City ANCHORAGE
State AK
Zip Code 99515-3516

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891293239 Above The Horizon LLC Custodial Care Facility 3300 Amber Bay Loop, Anchorage, AK 99515 2018-01-31
1689103004 Kristine Troesch Massage Therapist 1130 W Dimond Blvd Suite D, Anchorage, AK 99515 2017-06-08
1710433610 Yichen Chung Physical Therapist 9500 Canton Loop, Anchorage, AK 99515 2016-08-30
1093185175 Lemon Tree Family Medicine, LLC Family Medicine 621 W., Dimond Anchorage, AK 99515 2015-10-01
1861891285 Shawna J Mcelroy Physician Assistant 1389 Huffman Road, #150, Anchorage, AK 99515 2014-08-21
1003224189 Kelly Cutrer Pharmacist 12045 Brandon St, Anchorage, AK 99515 2014-08-01
1922419449 Shady Cook Case Manager/Care Coordinator 14041 Sunview Dr., Anchorage, AK 99515 2014-05-19
1699119941 Lezlee Henry-dupoux Social Worker 1221 Huffman Park Drive, Anchorage, AK 99515 2013-04-17
1790035087 Carmelite Home Residential Treatment Facility, Physical Disabilities 9401 Aphrodite Dr., Anchorage, AK 99515 2012-09-13
1982996344 Richard L Day, Dds, Apc Dentist 10998 Omalley Centre Dr., Suite A, Anchorage, AK 99515 2011-05-04
Find all providers in zip 99515

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760017123 Sara Rottman Nurse Practitioner 2210 Sentry Dr Apt 14, Anchorage, AK 99507-5353 2020-03-05
1104464460 David Ampong Nurse Practitioner 1577 C St Ste 204, Anchorage, AK 99501-5164 2019-12-18
1154897429 Kristerra Nicole Yawea Nurse Practitioner 2440 E Tudor Rd # 384, Anchorage, AK 99507-1185 2018-10-15
1982187399 Sara A Lindsoe Nurse Practitioner 8136 White Dr, Anchorage, AK 99507-6046 2018-09-11
1609326594 Virginia Walker Nurse Practitioner 3211 Providence Drive Rh Ste 116, University of Alaska Anchorage Student Health & Councel, Anchorage, AK 99508 2016-10-04
1649622457 Jenifer Swigart Nurse Practitioner 915 W. Northern Lights Blvd, Anchorage, AK 99503 2016-07-05
1649591504 Karen E Sasnett Nurse Practitioner 4321 Gannett Cir, Anchorage, AK 99504-4203 2010-06-15
1790001899 Peter Fritz Alward Nurse Practitioner 1500 Debarr Cir, Anchorage, AK 99508-2984 2010-04-14
1407189764 Holly Dimeglio, Anp Nurse Practitioner 1407 W. 31st Ave, Ste 201, Anchorage, AK 99503 2009-09-17
1134397334 Leona Marie Gillespie Nurse Practitioner 701 E Tudor Rd Ste 135, Anchorage, AK 99503-7459 2008-02-11
Find all providers in ANCHORAGE

Competitor

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City ANCHORAGE
Zip Code 99515

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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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