Individual provider Active NPI

Karen Marlene Moore, NP-C

  • Family Nurse Practitioner
  • Louisa, KY
National Provider Identifier
1578012159
Registry record updated Sep 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010761 Issued in KY
Practice address
2483 Highway 644
Louisa, KY 41230-9242
Phone
(606) 638-1154
NPI assigned
Sep 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010761 KY Primary

Addresses

Primary practice location

2483 Highway 644
Louisa, KY 41230-9242

Mailing address

2483 Highway 644
Louisa, KY 41230-9242
Phone (606) 638-1154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170113002447 KY Practitioner - Nurse Practitioner 8123300720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio Medical University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Three Rivers Medical Clinics IncGroup PAC ID 7315845047, 30 clinicians

Practice addresses (Care Compare)

2483 Hwy 644
Louisa, KY 41230-9242

2483 Hwy 644 102
Louisa, KY 41230-9242
Phone (606) 638-7488

2483 Hwy 644 104
Louisa, KY 41230-9242
Phone (606) 638-7288

2483 Hwy 644 107
Louisa, KY 41230-9242
Phone (606) 638-1154

2483 Hwy 644 201
Louisa, KY 41230-9242
Phone (606) 638-9404

2485 Hwy 644
Louisa, KY 41230-9242
Phone (606) 638-1154

40 Professional Park Dr
Louisa, KY 41230-9644
Phone (606) 638-4656

822 S Mayo TRL
Paintsville, KY 41240-1384
Phone (606) 789-8222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Medical Clinics Inc CurrentSince Nov 21, 2016 Accepting new patients
Three Rivers Medical Clinics Inc Family CurrentSince Nov 21, 2016 Accepting new patients

Locations

94 Boardwalk
#1
Inez, KY 41224
Phone (606) 296-2660

306 Commerce Dr
Ste 700
Louisa, KY 41230
Phone (606) 638-7400

40 Professional Park Dr
Louisa, KY 41230
Phone (606) 638-4656

2483 Highway 644
Ste 107
Louisa, KY 41230
Phone (606) 638-1154

412 N Lock Ave
Louisa, KY 41230
Phone (606) 638-4595

2483 Highway 644
Ste 201
Louisa, KY 41230
Phone (606) 638-7399

822 S Mayo Trl
Paintsville, KY 41240
Phone (606) 789-5541

Interoperability endpoints

  • Direct secure messaging: karen.moore.1@1954.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474675200000",
    "number": "1578012159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 HIGHWAY 644",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309242",
            "telephone_number": "606-638-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 HIGHWAY 644",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309242",
            "telephone_number": "606-638-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAREN",
        "middle_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.