Kimberly Anne Moore, BA, QP

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10331 Crestgate Ter Apt 103
Raleigh, NC 27617-1806

Phone

(984) 298-0092

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1396314357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10331 CRESTGATE TER APT 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171806",
            "telephone_number": "984-298-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10331 CRESTGATE TER APT 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171806",
            "telephone_number": "984-298-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "BA, QP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Grace Moore, NCC
• Kathryn Anne Strader Moore, APRN, MSN, ANP, FNP
• Kathryn Weber Moore, SLP
• Kathy Moore, LCAS
• Kiara Moore
• La Kevia Nadine Moore, ED.D, LCSW
• Laura Moore, BCBA
• Laura Barlow Moore, CRNA
• Laura Kathan Moore, LPC
• Lee Moore

• Behavior Technician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.