Killeen Moreno, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0653 Issued in TX

Practice address

103 W 11TH St
Big Spring, TX 79720-2913

Phone

(432) 517-4557

Fax

(432) 400-1406

NPI assigned

Mar 11, 2006

Last updated

Dec 29, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Arizona Ave Emergency Physicians

  • Emergency Medicine Physician
  • Sweetwater, TX
  • NPI 1205084324
  NPD (past)
• Seminole Hospital District of Gaines County Texas

  dba Memorial Hospital

  • Critical Access Hospital
  • Seminole, TX
  • NPI 1821025990

  Emergency Medicine

  NPD (past)
• Texas Emergency Room Services , PA

  • Emergency Medicine Physician
  • Orange, TX
  • NPI 1306894092
  NPD (past)

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1366410672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W 11TH ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202913",
            "telephone_number": "432-517-4557",
            "fax_number": "432-400-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 11TH ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202913",
            "telephone_number": "432-517-4557",
            "fax_number": "432-400-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "KILLEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-11",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmoreno@sprhs.org",
            "affiliation": "Y",
            "affiliationName": "South Plains Rural Health Services, Inc.",
            "address_1": "103 W 11th St",
            "city": "Big Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797202913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tawna Chari Moore, LMSW
• Anita Elizabeth Morales, PT
• Guadalupe Fuentes Morales, LPC
• Jonathan Robert Morales, FNP
• Minnie Chen Morales, APN
• Bonnie Belle Morrison, PHARMD
• Karma Serena Morrow, MS CCC SLP
• Gwen G Morton, OTR
• Julie Elizabeth Mosley, DNP, RN, PMHNP-BC
• Sharon Ann Murphy, LCSW

• Family Medicine Physician in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.