Jennifer Kay Moore, M.S.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

308 Penny Cir
Guthrie, OK 73044-9272

Phone

(405) 657-9265

NPI assigned

Jan 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1093010654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730440275",
            "telephone_number": "405-657-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 PENNY CIR",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730449272",
            "telephone_number": "405-657-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Steven Metheny, PA
• Midstate Rehab LLC
• Milestone Therapies of Ok, LLC
• Sigrid Ming, ARNP-CNP
• Connie Jung Moore, PHD, LPC
• Mary Skylar Moore
• Priscila Moores, APRN
• Zanade Sharea Morgan
• Jamie Lynn Mungai, LPC-S
• Tyler Matthew Murry, DPT

• Specialist in Guthrie, OK
• Providers in Guthrie, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.