Kimberly Moore, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP 9183587 Issued in FL

Practice address

5701 Hiawatha Rd
Morristown, TN 37814-1454

Phone

(765) 461-7687

NPI assigned

Jan 8, 2015

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1235527508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 HIAWATHA RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141454",
            "telephone_number": "765-461-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 HIAWATHA RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141454",
            "telephone_number": "765-461-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIMBERLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9183587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pascha Moles
• Linda Gail Monteith, MD
• Amanda Montgomery, H.I.S.
• Zinamong Monzon-Benavides, DDS
• Edward Herbert Moody Jr., DDS
• Richard Bruce Moore, PA
• Sonya Glyn Moore, M.S. , LADAC II
• Dana Phillips Moreland, FNP
• Dana Morelock
• Jessica A Morelock, OTR/L

• Adult Health Nurse Practitioner in Morristown, TN
• Providers in Morristown, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.