Individual provider Active NPI

Kathleen Elizabeth Moore, FNP

  • Family Nurse Practitioner
  • Murphy, NC
National Provider Identifier
1679945406
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0815864 Issued in NC
Practice address
3990 E US 64 Alt
Murphy, NC 28906-6843
Phone
(828) 837-8161
NPI assigned
Oct 20, 2015
Last updated
Oct 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0815864 NC Primary

Addresses

Primary practice location

3990 E US 64 Alt
Murphy, NC 28906-6843

Mailing address

567 Mount Herman Rd
Mineral Bluff, GA 30559-2653
Phone (828) 361-5075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161117000080 NC Practitioner - Nurse Practitioner 1254610140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0815864NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Murphy Medical Center Inc Current Accepting new patients
Murphy Medical Center, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Jun 1, 2016 Accepting new patients

Locations

145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376

183 Ledford St
Ste A
Murphy, NC 28906
Phone (828) 837-1332

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

75 Medical Park Ln
Ste A
Murphy, NC 28906
Phone (828) 647-0647

75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.