KELLY MOORE (NPI# 1770977563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
1120 HUFFMAN RD STE 24-787 |
City | ANCHORAGE |
State | AK |
Zip Code | 99515-3516 |
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 Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
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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.