Active NPI
Kimberly Lyn Moravec
- Registered Nurse
- Waukesha, WI
National Provider Identifier
1407152879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 123314-30
- Practice address
- W326 S3994 Spring Ridge CT
Waukesha, WI 53189 - Phone
- (262) 271-8957
- NPI assigned
- Feb 2, 2011
- Last updated
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 123314-30 | WI | Primary |
Addresses
Primary practice location
W326 S3994 Spring Ridge CT
Waukesha, WI 53189
Mailing address
W326S3994 Spring Ridge CT
Waukesha, WI 53189-9455
Phone (262) 271-8957
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123314-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1407152879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W326S3994 SPRING RIDGE CT",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531899455",
"telephone_number": "262-271-8957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W326 S3994 SPRING RIDGE CT",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53189",
"telephone_number": "262-271-8957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAVEC",
"first_name": "KIMBERLY",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "123314-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
- Mackenzie Rae Monson
- Moore Love and Care LLC (Moore Love and Care Site 2)
- Lenore Moore, MS/CCC-SLP
- Jigeesha Mopidevi, DDS
- Cailey Moran
- Moreland Ear Nose & Throat Group LTD
- Moreland Family Medicine Associates, S.C.
- Moreland Medical Center (Moreland Medical Center Laboratory)
- Moreland Medical Center X-Ray (Moreland Medical X-Ray)
- Moreland Medical Laboratory, LLC (Moreland Medical Laboratory)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.