Kimberlee Adele Moyer, R.N.,M.S.N.,C.S.

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

101-0017331 Issued in VT

Practice address

65 N Main St
Rutland, VT 05701-3252

Phone

(802) 773-2184

NPI assigned

May 21, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881802916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 584",
            "city": "PITTSFORD",
            "state": "VT",
            "postal_code": "057630584",
            "telephone_number": "802-483-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013252",
            "telephone_number": "802-773-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "KIMBERLEE",
        "middle_name": "ADELE",
        "credential": "R.N.,M.S.N.,C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "VT",
            "license": "101-0017331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Morris, DPT
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• Jenna Grace Munger, PA-C
• Stephanie Corrinne Munoz Wells, BS EARLY CHILD ED
• Lynn Murphy, LICSW

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Rutland, VT
• Providers in Rutland, VT by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.