KIM M MOREAU
NPI 1053905646
Licensed Practical Nurse in Bronx, NY

Q: What is Kim Moreau's NPI number?

The NPI number for Kim Moreau is 1053905646. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Q: What is Kim Moreau's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Moreau was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 24, 2021

1326 ELDER AVE, BRONX, NY 10472(718) 791-6051 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kim M Moreau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM M MOREAU (NPI 1053905646) is an individual licensed practical nurse in Bronx, New York, licensed in New York (28120301) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1053905646

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIM M MOREAU

Location Address1326 ELDER AVEBronx, NY 10472-1502

Mailing Address1326 Elder AveBronx, NY 10472-1502

Phone(718) 791-6051

Sole ProprietorNo

Enumeration DateFebruary 24, 2021

NPPES CertifiedFebruary 24, 2021

✔ NPI 1053905646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 28120301

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1326 ELDER AVE, Bronx, NY 10472

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Other Identifiers 1

Medicaid28120301NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Moreau's NPI number?

The NPI number for Kim Moreau is 1053905646. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Kim Moreau located?

Kim Moreau practices at 1326 Elder Ave, Bronx, NY 10472. The listed phone number is (718) 791-6051.

What is Kim Moreau's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kim Moreau was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.