Keyosha Moore

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

31-197182 Issued in WI

Practice address

6927 Skyline Park Dr
Katy, TX 77449-4353

Phone

(262) 880-6019

NPI assigned

Dec 21, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Hunting for More Love, LLC

  • Assisted Living Facility
  • Katy, TX
  • NPI 1457135261
  NPD Authorized official
• Hunting for More Love, LLC

  dba Pride and Joy adult family group home, LLC

  • Adult Care Home Facility
  • Racine, WI
  • NPI 1790474286
  NPD Authorized official

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1134635410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MCKINLEY AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534043414",
            "telephone_number": "262-880-6019",
            "fax_number": "262-880-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 SKYLINE PARK DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494353",
            "telephone_number": "262-880-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KEYOSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "31-197182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN LISENCE",
            "identifier": "0016649",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Montgomery, M.A., CCC-SLP
• Erica L Montgomery, MSHA
• Kimberlyn Alysse Montgomery, BCBA
• William H. Montgomery, M.D.
• Stacie Savanna Moore-Ukoha, BSN, RN
• Mary Seibel Moore
• Sade Quontice Moore, MA
• Shenicki Coleman Moore
• Tabitha Moore
• Tanika Moore

• Registered Nurse in Katy, TX
• Providers in Katy, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.