Kimberly Dawn Moore-Salas, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-30175 Issued in AZ

Practice address

8400 S Kyrene Rd Ste 126
Tempe, AZ 85284-2172

Phone

(480) 442-8491

NPI assigned

Jun 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 4TH Trimester Arizona

  • Doula
  • Tempe, AZ
  • NPI 1649108200
  NPD (past)

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437670635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 S KYRENE RD STE 126",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842172",
            "telephone_number": "480-442-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 S KYRENE RD STE 126",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842172",
            "telephone_number": "480-442-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-SALAS",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "AZ",
            "license": "L-30175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Montierth, LPC
• Jose A Montoya, L.AC.
• Thomas Glendon Moody, M.D.
• Kimberly Moon, L.M.T.
• Moore Allies Childcare Staffing & Career Development Agency LLC
• Broderick Moore, PHARMD
• Jessica Leah Moore
• Kelly Moore
• Molly Michelle Moore, MSN, RN, FNP-C
• Nicholas Moore

• Lactation Consultant (Non-RN) in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Lactation Consultant (Non-RN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.