Debbie Faye Keeter - Moore, MS. RD/LD.CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

676 Issued in OK

Practice address

1900 N 14TH St
Ponca City, OK 74601-2035

Phone

(580) 765-0269

Fax

(580) 718-2904

NPI assigned

Nov 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as apm

Quality

76.55

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: debbie.moore.p1@direct.smc.nextgenshare.com

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.

• Stillwater Medical Center Authority

  • Family Medicine Physician
  • Stillwater, OK
  • NPI 1558377135
  Medicare reassignment NPD
• Stillwater Medical Center Authority

  dba Stillwater Family Medical of Perry

  • Family Medicine Physician
  • Perry, OK
  • NPI 1407729361
  NPD

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1316127335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 HOLMES AVE",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740234703",
            "telephone_number": "918-399-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012035",
            "telephone_number": "580-765-0269",
            "fax_number": "580-718-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETER - MOORE",
        "first_name": "DEBBIE",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "MS. RD/LD.CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100662190C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay County Oklahoma Hospital Company LLC (Alliancehealth Clinic Ponca City)
• Kay County Oklahoma Hospital Company, LLC (Ponca City Emergency Services)
• Kay County Oklahoma Hospital Company, LLC (AllianceHealth Ponca City)
• Kay County Oklahoma Hospital Company, LLC (Ponca City Medical Center)
• Thomas Francis Keeley, DPH
• Landen Keffer
• Donald Ray Kelle, O.D.
• Kaella R Kelley
• Alice Bayles Kelly, DPH
• Kimberly D Kelly, LCSW, DSW

• Registered Dietitian in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.