Kathleen Elizabeth Moore, FNP

Key facts

NPI

1679945406

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

F0815864 (NC)

Practice address

3990 E US 64 Alt
Murphy, NC 28906-6843

Phone

(828) 837-8161

NPI assigned

Oct 20, 2015

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Murphy Medical Center Inc Certified Registered Nurse Anesthetist · Murphy, NC · NPI 1649378423
  Medicare reassignment NPD NC
• Murphy Medical Center, Inc. Surgery Physician · Murphy, NC · NPI 1700053865
  NPD
• Murphy Medical Center, Inc. Rural Health Clinic/Center · Andrews, NC · NPI 1972123537
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.moore.1@20088.direct.athenahealth.com
• Direct secure messaging: kathleen.moore.1@17222.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FHIIBD/Endpoint/FHIIBD

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2015.

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1679945406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 MOUNT HERMAN RD",
            "city": "MINERAL BLUFF",
            "state": "GA",
            "postal_code": "305592653",
            "telephone_number": "828-361-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 E US 64 ALT",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066843",
            "telephone_number": "828-837-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F0815864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

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• Robert James Mock, M.D.
• Johanna Anja Molendijk, PT
• Michayla Moody, PHARMD
• Sydney Grace Moody
• Joanne Chapman Morelock, LPC NCC
• Sharon Elizabeth Moss, PH. D.
• Mountain Valley Orthopedics, PLLC
• Murphy
• Murphy Emergency Physicians, PLLC

All providers in Murphy, NC · Family Nurse Practitioner in North Carolina