Kelly Moore, CADC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

726 S 17TH St
Fort Dodge, IA 50501-5344

Phone

(800) 830-7009

NPI assigned

Jun 7, 2013

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

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1679911002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 S 17TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015344",
            "telephone_number": "800-830-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S 17TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015344",
            "telephone_number": "800-830-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KELLY",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Lee Mitzel, DPT
• Aaron Mobley, D.C.
• Terry Donn Moehnke, O.D.
• Sara Ann Moeller, PAC
• Rose Monson, PTA
• Bridget Moriarty, BSN, RN
• Alissa Moss
• Jeanette Lucille Moss, CADC
• James J Mueller, MD
• Ana G Munoz

• Counselor in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.