Kaydee M Moore, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

114250 Issued in WV

Practice address

545 Airport Rd Ste 101
Bluefield, WV 24701-7388

Phone

(304) 325-0066

NPI assigned

Apr 17, 2022

Last updated

Oct 5, 2023By 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

Other names 1

• Kaydee Wiley Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Stonerise Reliable Healthcare LLC

  dba Stonerise Home Health

  • Home Health Agency
  • Princeton, WV
  • NPI 1740709146
  NPD (past)
• Stonerise Reliable Healthcare LLC

  dba Stonerise Home Health St. Clairsville

  • Home Health Agency
  • Saint Clairsville, OH
  • NPI 1487172649
  NPD (past)

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1992448054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 AIRPORT RD STE 101",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247017388",
            "telephone_number": "304-325-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 AIRPORT RD STE 101",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247017388",
            "telephone_number": "304-325-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAYDEE",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-17",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "114250",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "36188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kamoore@stoneriseathome.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1908 Glenwood Park Rd",
            "city": "Princeton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "247397969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYDEE",
            "last_name": "WILEY",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael T. Hegstrom,MD, PLLC
• Leslie Mills
• Marissa Ann Mitchell, LMT
• Valerie Mitchell
• Leah Renee Mooney, FNP-C
• Gregory S Moorefield, BS
• Nora Lee Moretto
• Sheila A Morgan, LMT
• Tiffany Morris
• Daniel Morrison

• Registered Nurse in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.