Kimbra Lee Moore

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN.CNP.020726 Issued in OH

Practice address

128 S Westwood Dr
Lima, OH 45805-2634

Phone

(419) 231-5351

Fax

(419) 302-1481

NPI assigned

Jan 8, 2018

Last updated

Sep 29, 2026By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Hospice of Darke County, Inc.Group PAC ID 7618887860, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospice of Darke County Inc

  dba EverHeart Hospice

  • Community Based Hospice Care Agency
  • Greenville, OH
  • NPI 1164400529
  Medicare reassignment Care Compare group NPD
• Caremed Ohio LLC

  • Multi-Specialty Clinic/Center
  • Toledo, OH
  • NPI 1669123949
  Medicare reassignment NPD
• Northwest Ohio OBGYN LLC

  • Obstetrics & Gynecology Physician
  • Bluffton, OH
  • NPI 1154468809
  Medicare reassignment NPD
• Wound Med LLC

  • Nursing Care Agency
  • Shaker Heights, OH
  • NPI 1790521060
  Medicare reassignment NPD
• Hospice of Darke County Inc

  dba EverHeart Hospice

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Greenville, OH
  • NPI 1902633209

  Nurse Practitioner

  NPD
• Onhealthcare LLC

  • Social Worker
  • Indianapolis, IN
  • NPI 1114681681
  NPD
• Onhealthcare, LLC

  dba OnHealthcare Optometry

  • Optometrist
  • Indianapolis, IN
  • NPI 1417220369
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Onhealthcare LLC

  dba OnHealthcare Podiatry

  • Podiatrist
  • Indianapolis, IN
  • NPI 1952677353
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercer County Joint Township Community Hospital

  dba Mercer Health

  • General Acute Care Hospital
  • Coldwater, OH
  • NPI 1497784144
  Care Compare affiliation

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1992212211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S WESTWOOD DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052634",
            "telephone_number": "419-231-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S WESTWOOD DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052634",
            "telephone_number": "419-231-5351",
            "fax_number": "419-302-1481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Wapakoneta",
            "state": "OH",
            "postal_code": "458959347",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453312461",
            "country_code": "US",
            "telephone_number": "800-417-7535",
            "fax_number": "937-548-7144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIMBRA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.020726",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.020726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmoore@ehhospice.org",
            "affiliation": "N",
            "address_1": "1350 N Broadway St",
            "city": "Greenville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453312461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandria Moore
• Elizabeth E Moore, NP
• Emily Anne Moore, OTR/L
• Jordan Nicole Moore
• Julia Ann Moore, RD, LD
• Lakeshia Moore, LPN
• Tobi Moore, RN
• Tyler Moore
• Ambriah D Morehead
• Kelly Lee Morehouse, LPN

• Gerontology Nurse Practitioner in Lima, OH
• Providers in Lima, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.
• 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.