Kimberly Wells Moore, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01212500 Issued in NJ

Practice address

1030 Kentontown Rd
Mount Olivet, KY 41064-7649

Phone

(606) 724-5020

NPI assigned

Nov 2, 2020

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Caremed Health Solutions of Kentucky, LLCGroup PAC ID 4880071299, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harrison Memorial Hospital Hospital, Cynthiana, KY, CCN 180079

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caremed Health Solutions of Kentucky, LLC

  • Multi-Specialty Clinic/Center
  • Ashland, KY
  • NPI 1326789462
  Medicare reassignment Care Compare group NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  KY

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Harrison Memorial Hospital

  • General Acute Care Hospital
  • Cynthiana, KY
  • NPI 1629084702
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1013518661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "MOUNT OLIVET",
            "state": "KY",
            "postal_code": "410640341",
            "telephone_number": "606-842-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 KENTONTOWN RD",
            "city": "MOUNT OLIVET",
            "state": "KY",
            "postal_code": "410647649",
            "telephone_number": "606-724-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIMBERLY",
        "middle_name": "WELLS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014345",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1099445",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01212500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffalo Trace District Health Department (Robertson Co HD School Clinic)
• Clisty Nicole Earlywine, NP
• Eugonda Fryman, APRN
• Lauren Hughes
• Hunter Alexis Jolly, MSN, APRN, AGACNP-BC
• Sage Remley, OT
• Robertson Co Health Dept
• Robertson County Board of Education
• Robertson Manor LLC (Robertson County Health Care Facility)
• Robertson Operations, LLC

• Family Nurse Practitioner in Mount Olivet, KY
• Providers in Mount Olivet, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.