Kelly Moore, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN-316271 Issued in OH

Practice address

1507 Broad Blvd
Cuyahoga Falls, OH 44223-2434

Phone

(330) 714-9810

Fax

(330) 543-3539

NPI assigned

May 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1588042980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 BROAD BLVD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232434",
            "telephone_number": "330-714-9810",
            "fax_number": "330-543-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 BROAD BLVD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232434",
            "telephone_number": "330-714-9810",
            "fax_number": "330-543-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KELLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-316271",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "229524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Molla, PHD, LPCC-S, IMFT-S
• Nicole Molnar
• Jean Monateri
• Monica'S Miracles
• Melanie Renee Montgomery, LSW
• Ryan Moore, LPCC-S
• Spencer Shawn Moore, D.O.
• Stephen Howard Moore, DDS MS
• Timiya A Moore, LPN
• Sherif Morcos Ebied, BDS, MDS, MSD, PHD

• Registered Nurse in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.