NPIMap

Individual provider Active NPI

Kimberley Anne Tatum-Moyer, WHNP IBCLC

  • Women's Health Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1285467613
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN-4777-0 Issued in HI
Practice address
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone
(808) 932-3797
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN-4777-0 HI Primary

Addresses

Primary practice location

1190 Waianuenue Ave
Hilo, HI 96720-2089

Mailing address

214 Bluefield Rd
Chapel Hill, NC 27517-7002
Phone (970) 986-9801

Other names 1

  • Kimberley Anne Tatum-Moyer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241121001706 HI Practitioner - Nurse Practitioner 4385179845 Reassigns benefits to 1 organization
I20260225001588 NC Practitioner - Nurse Practitioner 4385179845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

5324 McFarland Rd
Suite 310
Durham, NC 27707-6864
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-4777-0HIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Duke University Health System, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Nov 1, 2024 Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

5324 McFarland Rd
Ste 310
Durham, NC 27707
Phone (919) 401-1000

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1285467613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BLUEFIELD RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177002",
            "telephone_number": "970-986-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202089",
            "telephone_number": "808-932-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM-MOYER",
        "first_name": "KIMBERLEY",
        "middle_name": "ANNE",
        "credential": "WHNP IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "HI",
            "license": "APRN-4777-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "TATUM-MOYER",
            "middle_name": "ANNE",
            "credential": "WHNP IBCLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.