Katherine Roya Moore, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

88772 Issued in OK

Practice address

415 W Gore Blvd
Lawton, OK 73501-3710

Phone

(580) 695-7374

NPI assigned

Oct 4, 2018

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

Other names 1

• Katherine Roya Moini Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: katherine.moore@16403398590468.direct.elationemr.com

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1972078046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 NE 135TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735079793",
            "telephone_number": "580-695-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013710",
            "telephone_number": "580-695-7374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5602 SW Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735059699",
            "country_code": "US",
            "telephone_number": "580-531-6448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 NE 135th St",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735079793",
            "country_code": "US",
            "telephone_number": "580-695-7374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATHERINE",
        "middle_name": "ROYA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "88772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MOINI",
            "middle_name": "ROYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Olivia Moon, D.C.
• Patrice Elaine Mooney, DO
• Andrea Bernice Moore, BS CASE MANAGER
• Carol Marshea Moore
• Jessica Moore
• Lana J Moore, MS RPT
• Maria Del Carmen Moore, BS
• Precious Moore
• Sean Moore, MDIV, MS, LMFT
• Vickie Moots, LPC

• Family Nurse Practitioner in Lawton, OK
• Providers in Lawton, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.