KIMBERLY LEIGH MOORE RN CPNP-AC CPNP NPI 1164592457

NPI Information

  • NPI: 1164592457
  • Provider Name: KIMBERLY LEIGH MOORE, RN CPNP-AC CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1935 MOTOR ST
    DALLAS, TX
    ZIP 75235
  • Phone: (214) 456-2033

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NPI Details

Kimberly Leigh Moore, RN CPNP-AC CPNP is a pediatrics nurse practitioner in Dallas, TX. Kimberly Leigh Moore, RN CPNP-AC CPNP NPI is 1164592457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1935 MOTOR ST
DALLAS, TX
ZIP 75235-701
Phone: (214) 456-2033

The NPI 1164592457 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 4/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsAP114683TEXASYes
2363LP0222XNurse PractitionerPediatrics, Critical Care728846TEXASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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