Individual provider Active NPI

Rhonda Moore, APRN

  • Family Nurse Practitioner
  • Warsaw, KY
National Provider Identifier
1164847562
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008347 Issued in KY
Practice address
202 Franklin Street
Warsaw, KY 41095
Phone
(859) 567-2754
Fax
(859) 567-5108
NPI assigned
Feb 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008347 KY Primary

Addresses

Primary practice location

202 Franklin Street
Warsaw, KY 41095

Mailing address

202 Franklin St
Warsaw, KY 41095
Phone (859) 567-2754

Other identifiers 1

IdentifierTypeStateIssuer
7100276790MedicaidKY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140416001897 KY Practitioner - Nurse Practitioner 3678705092 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First You Medical Center PLLCGroup PAC ID 4688572464, 7 clinicians

Practice addresses (Care Compare)

151 E Broadway
Eminence, KY 40019-1149
Phone (502) 845-6288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First You Medical Center PLLC Family CurrentSince Feb 13, 2015 Accepting new patients
CCMH Corporation Family CurrentSince Jun 17, 2017 Accepting new patients
American Current Care PA CurrentSince Jan 8, 2026 Accepting new patients
First You Medical Center PLLC Family Current Accepting new patients
CCMH Corporation Current Accepting new patients
CCMH Corporation CurrentSince Jun 17, 2017 Accepting new patients
American Current Care P.a. CurrentSince Jan 8, 2026 Accepting new patients
Pearl Medical Practice PLLC PastSince Jan 31, 2021 Accepting new patients

Locations

18 Alexander Ave
Unit 1
Bedford, KY 40006
Phone (502) 216-8464

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

151 E Broadway St
Eminence, KY 40019
Phone (502) 845-0005

151 E Broadway St
Ste 1
Eminence, KY 40019

1825 Airport Exchange Blvd
Ste 100
Erlanger, KY 41018
Phone (859) 647-6228

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1393027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164847562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FRANKLIN ST",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "41095",
            "telephone_number": "859-567-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FRANKLIN STREET",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "41095",
            "telephone_number": "859-567-2754",
            "fax_number": "859-567-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RHONDA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100276790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, KY

Sources for this page

Verify at the official NPI Registry.