Individual provider Active NPI

Kimberly N Moyers, RN, MSN, NP-C

  • Family Nurse Practitioner
  • Low Moor, VA
National Provider Identifier
1548375041
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165861 Issued in VA
Practice address
1 Arh Lane
Suite 800
Low Moor, VA 24457
Phone
(540) 862-6750
Fax
(540) 862-3742
NPI assigned
Aug 21, 2006
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN49612NP WV
Family Nurse Practitioner 363LF0000X 0024165861 VA Primary

Addresses

Primary practice location

1 Arh Lane
Suite 800
Low Moor, VA 24457

Mailing address

1421 Jackson River Tpke
Hot Springs, VA 24445-2548
Phone (540) 522-8802

Other identifiers 2

IdentifierTypeStateIssuer
010118352MedicaidVA
VV4007AOtherVAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050427000832 VA Practitioner - Nurse Practitioner 3678512878 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024165861VAMDFamily Nurse Practitioner
APRN49612NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bath County Community Hospital CurrentSince Jun 27, 2016 Accepting new patients
Emergicare Inc. CurrentSince Sep 17, 2013 Accepting new patients
Wvva Health Care Alliance, PC PastSince May 14, 2023 Accepting new patients
Pendleton Community Care, Inc Past Accepting new patients
Patricia W Henderson DO PC PastSince May 14, 2023 Accepting new patients
Radiological Physician Associates Inc Past Accepting new patients

Locations

42 Lambert St
Ste 111
Staunton, VA 24401
Phone (540) 885-6789

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13858/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1548375041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 JACKSON RIVER TPKE",
            "city": "HOT SPRINGS",
            "state": "VA",
            "postal_code": "244452548",
            "telephone_number": "540-522-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARH LANE",
            "address_2": "SUITE 800",
            "city": "LOW MOOR",
            "state": "VA",
            "postal_code": "24457",
            "telephone_number": "540-862-6750",
            "fax_number": "540-862-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYERS",
        "first_name": "KIMBERLY",
        "middle_name": "N",
        "credential": "RN, MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN49612NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010118352",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VV4007A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Low Moor, VA

Sources for this page

Verify at the official NPI Registry.