Katherine Katen Moore, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NN09352500 Issued in NJ

Practice address

36 Madison Ave
Drew University Health Service
Madison, NJ 07940-1434

Phone

(973) 408-3414

Fax

(973) 408-3031

NPI assigned

Apr 11, 2006

Last updated

Dec 3, 2010By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Drew University Health Service

  • Student Health Clinic/Center
  • Madison, NJ
  • NPI 1366836462
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1255394995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MADISON AVE",
            "address_2": "DREW UNIVERSITY HEALTH SERVICE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401434",
            "telephone_number": "973-408-3414",
            "fax_number": "973-408-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MADISON AVE",
            "address_2": "DREW UNIVERSITY HEALTH SERVICE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401434",
            "telephone_number": "973-408-3414",
            "fax_number": "973-408-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATHERINE",
        "middle_name": "KATEN",
        "name_prefix": "Ms.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN09352500",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305375",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0224766",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Miller, M.S.
• Madeline Taylor Mocko, RD
• Marissa M Molinilla, PT
• Kimberly Monestime, PMHNP-BC
• Tina Monica, P.T.
• Michael Joseph Moore, LAT
• Kirsti Elizabeth Morin, LAC
• Catherine M. Morrisett, D.MIN.
• Morristown Counseling Associates
• Movable Qi Acupuncture LLC (Movable Qi Acupuncture)

• Adult Health Nurse Practitioner in Madison, NJ
• Providers in Madison, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.