Melissa Jane Moore, RN

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

140711-130 Issued in WI

Practice address

289 Ireland Ave
Fort Knox, KY 40121-5111

Phone

(502) 624-9007

NPI assigned

Jan 3, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992783807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 W 12TH AVE",
            "city": "FORT MCCOY",
            "state": "WI",
            "postal_code": "546565240",
            "telephone_number": "608-388-3871",
            "fax_number": "608-388-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 IRELAND AVE",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401215111",
            "telephone_number": "502-624-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-13",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "WI",
            "license": "140711-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan McGee, FNP-BC
• Aimee Medders, RDH
• Susan Marie Micheli, PA-C
• Sarah Elizabeth Middleton, DMD
• Sonia Mills, PHD
• Ann M Morley, PHARMCIST
• Kathy Morris
• Peter Mott, RN
• Daniel Robert Nadeau, D.O., MHSA
• Shivaun Nafsu

• Occupational Health Registered Nurse in Fort Knox, KY
• Providers in Fort Knox, KY by specialty
• Occupational Health Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.