Kimberly R. Mora, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1408-08 Issued in HI

Practice address

606 Coral St FL 3
Honolulu, HI 96813-5135

Phone

(808) 791-6078

Fax

(808) 791-6198

NPI assigned

Dec 15, 2009

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Dec 15, 2009.

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1740519065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 CORAL ST FL 3",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135135",
            "telephone_number": "808-791-6078",
            "fax_number": "808-791-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 CORAL ST FL 3",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135135",
            "telephone_number": "808-791-6078",
            "fax_number": "808-791-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "KIMBERLY",
        "middle_name": "R.",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1408-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verna Moore
• Wendy Weiss Moore, R.P.T.
• Zachary Elliot Moore
• Sonia Mora Soriano
• Kimberly Hope Mora, A-GNP-C
• Daniel Gene Moraga
• Samantha-Ann Morales
• Alexandra Moran
• Hui Moran
• Jennifer L Moran, NP

• All providers in Honolulu, HI
• Addiction (Substance Use Disorder) Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.