Individual provider Active NPI

Kiera L Moore, AU.D.

  • Audiologist
  • Las Cruces, NM
National Provider Identifier
1982015491
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
SAH-2023-0111 Issued in NM
Practice address
4351 E Lohman Ave Ste 103
Las Cruces, NM 88011-8258
Phone
(575) 680-2434
Fax
(855) 780-8990
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 721 CO
Audiologist 231H00000X SAH-2023-0111 NM Primary

Addresses

Primary practice location

4351 E Lohman Ave Ste 103
Las Cruces, NM 88011-8258

Mailing address

4351 E Lohman Ave Ste 103
Las Cruces, NM 88011-8258
Phone (575) 680-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212004209 NM Practitioner - Qualified Audiologist 3072837541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Hearing Care, LLCGroup PAC ID 1850549668, 2 clinicians

Practice addresses (Care Compare)

4351 E Lohman Ave
Suite 103
Las Cruces, NM 88011-8258
Phone (575) 521-9795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
721COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hearing Care, LLC Audiologist CurrentSince Jan 1, 2024 Accepting new patients

Locations

1180 Mall Dr
Ste C
Las Cruces, NM 88011
Phone (505) 532-5500

4351 E Lohman Ave
Ste 103
Las Cruces, NM 88011
Phone (575) 521-9795

Organizations & group practices 1

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1982015491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 103",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118258",
            "telephone_number": "575-680-2434",
            "fax_number": "855-780-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 103",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118258",
            "telephone_number": "575-680-2434",
            "fax_number": "855-780-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIERA",
        "middle_name": "L",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "721",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "SAH-2023-0111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.