Individual provider Active NPI

Rhiannon Moore, PSY.D.

  • Psychologist
  • Olathe, KS
National Provider Identifier
1548650377
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2288 Issued in KS
Practice address
407 S Clairborne Rd
Ste 104
Olathe, KS 66062-1857
Phone
(913) 648-2266
Fax
(913) 393-9934
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2017016787 MO
Psychologist 103T00000X 2288 KS Primary

Addresses

Primary practice location

407 S Clairborne Rd
Ste 104
Olathe, KS 66062-1857

Mailing address

407 S Clairborne Rd
Ste 104
Olathe, KS 66062-1857
Phone (913) 648-2266

Other practice location 1

4049 Pennsylvania Ave
Kansas City, MO 64111-3085
Phone (816) 287-1437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190717000362 MO Practitioner - Psychiatry 6406147743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

10918 Elm Ave
Suite 102
Kansas City, MO 64134-2284
Phone (816) 767-4346

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017016787MOMDPsychologist
2389KSMDClinical Social Worker
2288KSMDAudiologist

Interoperability endpoints

  • Direct secure messaging: rmoore375584@direct.saint-lukes.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548650377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S CLAIRBORNE RD",
            "address_2": "STE 104",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621857",
            "telephone_number": "913-648-2266",
            "fax_number": "913-393-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S CLAIRBORNE RD",
            "address_2": "STE 104",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621857",
            "telephone_number": "913-648-2266",
            "fax_number": "913-393-9934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4049 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641113085",
            "country_code": "US",
            "telephone_number": "816-287-1437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RHIANNON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2017016787",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.