Active NPI
Kassidy Paige Moore, AU.D.
- Audiologist
- Amarillo, TX
National Provider Identifier
1255853263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80886
- Practice address
- 6830 Plum Creek Dr
Amarillo, TX 79124-1601 - Phone
- (806) 355-9999
- Fax
- (806) 355-9989
- NPI assigned
- Jul 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80886 | TX | Primary |
Addresses
Primary practice location
6830 Plum Creek Dr
Amarillo, TX 79124-1601
Mailing address
6830 Plum Creek Dr
Amarillo, TX 79124-1601
Phone (806) 355-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80886 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1255853263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 PLUM CREEK DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791241601",
"telephone_number": "806-355-9999",
"fax_number": "806-355-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 PLUM CREEK DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791241601",
"telephone_number": "806-355-9999",
"fax_number": "806-355-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KASSIDY",
"middle_name": "PAIGE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2022-07-21",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.