Kaleigh Cheyenne Moore, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0026740 Issued in OH

Practice address

3879 Rhodes Ave
New Boston, OH 45662-6002

Phone

(877) 423-1330

Fax

(740) 354-0293

NPI assigned

Apr 21, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1649890500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 MEAD MCNEER RD",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948636",
            "telephone_number": "740-464-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3879 RHODES AVE",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456626002",
            "telephone_number": "877-423-1330",
            "fax_number": "740-354-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KALEIGH",
        "middle_name": "CHEYENNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0026740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Marie McCullough, CNP
• Brianna Michelle Meade
• Veronica Lynn Middleton, LISW, LICDC-CS,TSD
• Allison Montgomery
• Grace Ann Moore
• Diane C Neal
• Stella D Neal
• Neighboring Grace Christian Counseling, Inc.
• Charles Nelson
• Jodi Sue Nelson

• Family Nurse Practitioner in New Boston, OH
• Providers in New Boston, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.