Active NPI
Kathleen Moore, LISW
- Social Worker
- Des Moines, IA
National Provider Identifier
1386736403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00533
- Practice address
- 1750 48TH St
Suite 2
Des Moines, IA 50310-1988 - Phone
- (515) 271-6300
- Fax
- (515) 271-6311
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 00533 | IA | Primary |
Addresses
Primary practice location
1750 48TH St
Suite 2
Des Moines, IA 50310-1988
Mailing address
PO Box 4925
Des Moines, IA 50305-4925
Phone (515) 271-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 533 | IA | MD | Podiatrist |
| 00533 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1386736403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4925",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503054925",
"telephone_number": "515-271-6300",
"fax_number": "515-271-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 48TH ST",
"address_2": "SUITE 2",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101988",
"telephone_number": "515-271-6300",
"fax_number": "515-271-6311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KATHLEEN",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "00533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.