Individual provider Active NPI

Kiera Moore-Mastache

  • Registered Nurse
  • Akron, OH
National Provider Identifier
1568325934
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.518169 Issued in OH
Practice address
323 S Main St
Akron, OH 44308-1203
Phone
(888) 202-4232
NPI assigned
Dec 3, 2025
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.518169 OH Primary

Addresses

Primary practice location

323 S Main St
Akron, OH 44308-1203

Mailing address

323 S Main St
Akron, OH 44308-1203
Phone (888) 202-4232

Other practice location 1

105 E Market St
Akron, OH 44308-2036
Phone (888) 202-4232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN.518169OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Akron House Recovery CurrentSince Dec 7, 2025 Accepting new patients
Akron House Recovery LLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

323 S Main St
Akron, OH 44308
Phone (848) 210-0949

Organizations & group practices 2

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": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1568325934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081203",
            "telephone_number": "888-202-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081203",
            "telephone_number": "888-202-4232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 E Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443082036",
            "country_code": "US",
            "telephone_number": "888-202-4232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE-MASTACHE",
        "first_name": "KIERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.518169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.