Individual provider Active NPI

Kenquisha Marie Moorman, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1437648789
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012039 Issued in KY
Practice address
2950 W Market St
Louisville, KY 40212-1860
Phone
(502) 801-9502
Fax
(877) 284-3296
NPI assigned
May 2, 2018
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012039 KY Primary

Addresses

Primary practice location

2950 W Market St
Louisville, KY 40212-1860

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (502) 801-9502

Other practice location 1

1930 Bishop Ln Ste 1600
Louisville, KY 40218
Phone (502) 272-5044

Other identifiers 2

IdentifierTypeStateIssuer
7100529550MedicaidKY
K246490OtherKYMEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kmoorman143778@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
Direct Messaging Address kenquisha.moorman.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180606002871 KY Practitioner - Nurse Practitioner 9133484439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2950 W Market St
Louisville, KY 40212-1860
Phone (502) 801-9502

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Family Current Accepting new patients
Centerwell Senior Primary Care Ky PSC Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Centerwell Senior Primary Care Ky PSC CurrentSince Jan 23, 2023 Accepting new patients
Norton Healthcare Current Accepting new patients
HMPS Internal Medicine of West Louisville PLLC CurrentSince Sep 16, 2020 Accepting new patients
Centerwell Senior Primary Care (Ky) PSC CurrentSince Jan 23, 2023 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Centerwell Senior Primary Care in PC Current Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1020 Veterans Pkwy
Ste 700
Clarksville, IN 47129
Phone (812) 668-8144

305 New Albany Plz
New Albany, IN 47150
Phone (812) 668-8133

1930 Bishop Ln
Ste 1600
Louisville, KY 40218
Phone (502) 272-5034

3151 S 2nd St
Louisville, KY 40208
Phone (502) 632-9313

4521 Outer Loop
Louisville, KY 40219
Phone (502) 653-5206

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

927 W Main St
Louisville, KY 40202
Phone (502) 641-6695

Organizations & group practices 9

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1437648789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "502-801-9502",
            "fax_number": "877-284-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W MARKET ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121860",
            "telephone_number": "502-801-9502",
            "fax_number": "877-284-3296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Bishop Ln Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40218",
            "country_code": "US",
            "telephone_number": "502-272-5044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORMAN",
        "first_name": "KENQUISHA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100529550",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K246490",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmoorman143778@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "1930 Bishop Ln Ste 1600",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1930 Bishop Ln Ste 1600",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenquisha.moorman.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2950 W Market St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402121860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.