Nancy Kidd-Moon

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1138 Main Ave. Apt. C
Nitro, WV 25143

Phone

(304) 610-2632

NPI assigned

Nov 17, 2020

Sex

Female

Sole proprietor

No

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, last updated by the provider on Nov 17, 2020.

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1699378240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 MAIN AVE. APT. C",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "25143",
            "telephone_number": "304-610-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 MAIN AVE. APT. C",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "25143",
            "telephone_number": "304-610-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD-MOON",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami James
• Robert L Kardos, D.D.S.
• Opie Lee Kelly
• Philip Neil Kennedy II
• Sara Kessler
• James Kenneth King, R.PH
• Timothy Koehler, PRSS
• Bre Ann Lasseter, CPHT
• Cassandra Lawhon, M.ED.
• Betsy Dawn Legg, FNP-MSN

• All providers in Nitro, WV
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.