Kristin Moore, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085081 Issued in IA

Practice address

9550 White Oak LN Ste 200
Johnston, IA 50131-2267

Phone

(515) 259-8110

NPI assigned

Dec 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Easter Seal Society of Iowa IncGroup PAC ID 1557770120, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Easter Seal Society of Iowa, Inc.

  • Voluntary or Charitable Agency
  • Des Moines, IA
  • NPI 1295739951
  Medicare reassignment Care Compare group NPD
• Creative Community Options Inc

  • Day Training/Habilitation Specialist
  • Johnston, IA
  • NPI 1023149267
  NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1629674064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 WHITE OAK LN STE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312267",
            "telephone_number": "515-259-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 WHITE OAK LN STE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312267",
            "telephone_number": "515-259-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRISTIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "085081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohr Altitude, LLC
• Erin Mohr, ARNP
• McKenzie Mary Mok, MA, CCC-SLP
• Emily Monahan, OTR/L
• Cheryl Joy Moore, LMHC
• Lynn Moore
• Rosa Elena Morales, BCBA
• Katrina Blaine Moreland, PT
• Moriah Home LLC
• Alyssa Ann Morrissey, M.A. CF-SLP

• Clinical Social Worker in Johnston, IA
• Providers in Johnston, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.