Donna Kimberly Moore, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

R3647 Issued in KY

Practice address

504 Leaf LN
Somerset, KY 42503-4662

Phone

(606) 677-9490

Fax

(606) 679-4626

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Donna Kimberly Moore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801997085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LEAF LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034662",
            "telephone_number": "606-677-9490",
            "fax_number": "606-679-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 LEAF LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034662",
            "telephone_number": "606-677-9490",
            "fax_number": "606-679-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DONNA",
        "middle_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "MOORE",
            "middle_name": "KIMBERLY",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Junior Mondie
• Andrea A Monge Nissen, PSY.D.
• Jennifer Moody, LPCA
• Brittany Leanne Moore, RD
• Corey Moore, PT, DPT
• Jonathan E Moore, DPM
• Mary Moore
• Sarah Elizabeth Moore
• Shaylla Moore, DO
• Bethany Woods Moreland

• Occupational Therapist in Somerset, KY
• Providers in Somerset, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.