Kimmesha Moore

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

X9H6F9H4

Practice address

28 Spring St
Princeton, NJ 08542-6901

Phone

(478) 588-7339

NPI assigned

Nov 13, 2023

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Moore Mobile Medical Services LLC

  • Phlebotomy Technician
  • Princeton, NJ
  • NPI 1255106555

  Contractor

  NPD Authorized official

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1770357535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SPRING ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085426901",
            "telephone_number": "478-588-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SPRING ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085426901",
            "telephone_number": "478-588-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIMMESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": "28RW03886100",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": "X9H6F9H4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery Pediatric Dentistry
• Anissa L Moody, PH.D.
• Moonstone Therapy and Wellness
• Moore Mobile Medical Services LLC
• Elizabeth Moore, RD
• Rowena Moore, SLPD
• Adrianna Morales
• Liliana Morales, RN
• Maggie Moran, LSW
• Stephanie Moreno

• Phlebotomy Technician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Phlebotomy Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.