Kyle Lee Moore Sr., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5545-P Issued in OK

Practice address

805 E Robinson St
Norman, OK 73071-6610

Phone

(405) 447-4499

NPI assigned

Jun 3, 2016

Sex

Male

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Integrated Therapy Solutions of Oklahoma, LLC

  • Community/Behavioral Health Agency
  • Moore, OK
  • NPI 1659855278
  Medicare reassignment NPD

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1962851659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 REED AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715212",
            "telephone_number": "580-512-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E ROBINSON ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716610",
            "telephone_number": "405-447-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KYLE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "5545-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Moore, M.ED, BCBA
• Jeremy Adam Moore, MD
• Jessica Moore, BS, CM II
• Jo Acree Moore, AUD
• Kenidi Moore
• Lindsy Renae Moore, DPT, PT
• Margaret M Moore, PHARMD
• Natasha Moore
• Patrick J Moore, LPC
• Priya Filinto Moore

• Clinical Social Worker in Norman, OK
• Providers in Norman, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.