Kathryn Marie Moore, RN, APRN-BC

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

RN171792 Issued in GA

Practice address

2349 Crestcliff Dr
Tucker, GA 30084-4206

Phone

(404) 558-1129

NPI assigned

Feb 23, 2009

Last updated

Nov 19, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823
  NPD
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229
  NPD
• Pittsburgh Critical Care Associates, Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Altoona, PA
  • NPI 1497703680
  NPD
• Long Term Care Nurse Practitioner Services, LLC

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1235401423
  NPD (past)

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1336389980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 CRESTCLIFF DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844206",
            "telephone_number": "404-558-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 CRESTCLIFF DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844206",
            "telephone_number": "404-558-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "RN, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "GA",
            "license": "RN171792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montreal Internal Medicine Associates, PC
• Natasha Moon, PHD
• Danielle Moore, CCC-SLP
• Emily Moore
• Juanese Moore, LPC
• Lorneshia Moore, BCBA
• Ricquavious Moore, DPT
• Charlene Ann Morgan
• Antoinette Michelle Morris, MS
• Elsie Coleman Morris, MD

• Critical Care Medicine Nurse Practitioner in Tucker, GA
• Providers in Tucker, GA by specialty
• Critical Care Medicine Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.