Individual provider Active NPI

Vicky Wheeler Moore, APRN

  • Adult Health Nurse Practitioner
  • Harrodsburg, KY
National Provider Identifier
1366990145
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3010478 Issued in KY
Practice address
466 Linden Ave Ste a
Harrodsburg, KY 40330-1841
Phone
(859) 734-5173
NPI assigned
Sep 21, 2016
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3010478 KY Primary
Gerontology Nurse Practitioner 363LG0600X 3010478 KY

Addresses

Primary practice location

466 Linden Ave Ste a
Harrodsburg, KY 40330-1841

Mailing address

464 Linden Ave
Harrodsburg, KY 40330-1882
Phone (859) 734-5173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170123002213 KY Practitioner - Nurse Practitioner 7618259862 Reassigns benefits to 4 organizations
I20201109000697 FL Practitioner - Nurse Practitioner 7618259862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abode Care Partners LTC VB LLCGroup PAC ID 8325316516, 81 clinicians
SHC Medical Partners of Kentucky, LLCGroup PAC ID 1153406301, 45 clinicians

Practice addresses (Care Compare)

2529 Six Mile LN
Louisville, KY 40220-2934
Phone (502) 491-5560

3300 Tates Creek Rd
Lexington, KY 40502-3408
Phone (859) 266-2126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The James B. Haggin Memorial Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
SHC Medical Partners of Kentucky, LLC CurrentSince Jun 6, 2017 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 6, 2024 Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 18, 2025 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Current Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
SHC Medical Partners of Florida, LLC CurrentSince Sep 1, 2020 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 6, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 18, 2025 Accepting new patients

Locations

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

3636 10th Ave N
St Petersburg, FL 33713
Phone (727) 323-3611

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

466 Linden Ave
#B
Harrodsburg, KY 40330
Phone (859) 734-5123

3300 Tates Creek Rd
Lexington, KY 40502
Phone (859) 226-2126

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1366990145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 LINDEN AVE",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301882",
            "telephone_number": "859-734-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 LINDEN AVE STE A",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301841",
            "telephone_number": "859-734-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VICKY",
        "middle_name": "WHEELER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3010478",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3010478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrodsburg, KY

Sources for this page

Verify at the official NPI Registry.