What is Kim Moore's NPI number?

Kim Moore's National Provider Identifier (NPI) is 1508546417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kim Moore's specialty?

Kim Moore is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Kim Moore located?

Kim Moore's practice location on file with NPPES is 1540 Trinity Pl, Mishawaka, IN 46545-5006.

What is Kim Moore's phone number?

The practice phone number listed in the NPPES registry for Kim Moore is (574) 272-9000.

Is Kim Moore's NPI active?

Yes — Kim Moore's NPI (1508546417) is active in the NPPES registry as of the last update on 2023-07-25.

IndividualActive

Kim Moore

NPI 1508546417 · Licensed Practical Nurse · Mishawaka, IN

Kim Moore is a Licensed Practical Nurse provider in Mishawaka, IN (NPI 1508546417).

Provider details

NPI number: 1508546417
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 27052204A (IN)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 27052204A (IN)
Nursing Service Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1540 Trinity Pl

Mishawaka, IN 46545-5006

Phone: (574) 272-9000

Fax: (574) 272-9295

Street-level locationGet directions

Mailing address