Keeley Moore

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-310252 Issued in WI

Practice address

1813 Brackett Ave
Eau Claire, WI 54701-5040

Phone

(715) 204-4060

NPI assigned

May 15, 2023

Last updated

May 15, 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 1

Addresses

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.

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1952091720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 CARRIE AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548683066",
            "telephone_number": "715-829-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 BRACKETT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547015040",
            "telephone_number": "715-204-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KEELEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WI",
            "license": "L-310252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley James Monson, OD
• Marvin Tuante Monte, PTA
• Jody Mooney, RN
• Abigail Richie Moore, O.D.
• Brenda K Moore, PAC
• Teresa A Moreland, PA-C
• Eduardo Moreyra, MD
• Odette Morgan, MD
• Thomas Joe Morgan, P.T.
• Pierce Michael Moriarty

• Lactation Consultant (Registered Nurse) in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Lactation Consultant (Registered Nurse) in Wisconsin

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