Active NPI
Kimberly N Moyers, RN, MSN, NP-C
- Family Nurse Practitioner
- Low Moor, VA
National Provider Identifier
1548375041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024165861
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010118352 | Medicaid | VA | |
| VV4007A | Other | VA | MEDICARE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024165861 | VA | MD | Family Nurse Practitioner |
| APRN49612NP | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bath County Community Hospital | Current | Accepting new patients | |
| Emergicare Inc. | Current | Accepting new patients | |
| Wvva Health Care Alliance, PC | Past | Accepting new patients | |
| Pendleton Community Care, Inc | Past | Accepting new patients | |
| Patricia W Henderson DO PC | Past | 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
- 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.
-
dba Bath Community Hospital
- Critical Access Hospital
- Hot Springs, VA
- NPI 1417989278
-
- Family Medicine Physician
- Low Moor, VA
- NPI 1508059429
-
- Internal Medicine Physician
- Low Moor, VA
- NPI 1255371993
-
- Case Management Agency
- Franklin, WV
- NPI 1447434238
-
- Diagnostic Radiology Physician
- Fairmont, WV
- NPI 1811996960
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.