Individual provider Active NPI

Kari Moore, APRN

  • Acute Care Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1972979557
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3009621 Issued in KY
Practice address
401 E Chestnut St
Suite 510
Louisville, KY 40202-5700
Phone
(502) 588-4800
Fax
(502) 588-4801
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3009621 KY Primary

Addresses

Primary practice location

401 E Chestnut St
Suite 510
Louisville, KY 40202-5700

Mailing address

PO Box 909
Louisville, KY 40201-0909

Other identifiers 2

IdentifierTypeStateIssuer
201326760MedicaidIN
7100391400MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, OK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151013000256 KY Practitioner - Nurse Practitioner 9032428198 Reassigns benefits to 2 organizations
I20161116001285 IN Practitioner - Nurse Practitioner 9032428198 Reassigns benefits to 1 organization
I20240603004131 OK Practitioner - Nurse Practitioner 9032428198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Samaritan Hospital Physician Services, IncGroup PAC ID 3971671330, 143 clinicians

Practice addresses (Care Compare)

520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3009621KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Physician Services, Inc Acute Care CurrentSince Nov 3, 2020 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2019 Accepting new patients
Good Samaritan Hospital CurrentSince Nov 3, 2020 Accepting new patients
Healthfirst Physicians Management Services, Inc CurrentSince Apr 24, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 1, 2015 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2019 Accepting new patients
Good Samaritan Hospital Physician Services Inc. Past Accepting new patients
Ahs Oklahoma Physician Group LLC Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

73 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-1112

401 E Chestnut St
Louisville, KY 40202
Phone (502) 588-4400

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

401 E Chestnut St
Unit 510
Louisville, KY 40202
Phone (502) 588-4800

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

777 NW 63rd St
Ste 405
Oklahoma City, OK 73116

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1972979557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST",
            "address_2": "SUITE 510",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025700",
            "telephone_number": "502-588-4800",
            "fax_number": "502-588-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KARI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3009621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201326760",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100391400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.