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MRS. KATHLEEN D MOORE CNP
NPI 1205975844
Nurse Practitioner - Family in Monroe, LA

Active since February 06, 2007
4864 JACKSON ST, MONROE, LA 71202(318) 330-7626(318) 330-7648 Get Directions Write a Review

NPPES record last updated: February 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kathleen D Moore Cnp NPPES

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

MRS. KATHLEEN D MOORE CNP (NPI 1205975844) is an individual family provider in Monroe, Louisiana, licensed in Louisiana (RN042413-2796) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1205975844
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHLEEN D MOORECredential: CNP
Location Address4864 JACKSON STMonroe, LA 71202-6400
Mailing Address4864 Jackson StMonroe, LA 71202-6400 · (318) 330-7626 · Fax (318) 330-7648
Phone(318) 330-7626
Fax(318) 330-7648
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateFebruary 29, 2008
✔ NPI 1205975844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · RN042413-2796
4864 JACKSON ST, Monroe, LA 71202
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Other Identifiers 3

Medicaid1541834LA
Medicare UPINS55472LA
Medicare PIN5X525F600LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDDYE BLOSSOM II MD
Obstetrics & Gynecology
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7626
MISS KANDICE NICOLE HUNTER APRN, AGNP
Nurse Practitioner
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7000
HARNOOR SANDHU
Student in an Organized Health Care Education/Training Program
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7600
JEFFERY FULLER M.D.
Emergency Medicine
4864 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICAL SERVICES
MONROE, LA 71202
Ouachita Parish (318) 675-7737
DR. WILLIAM TODD YATES MD
Family Medicine
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7626
SHANKAR NADESAN MD
Student in an Organized Health Care Education/Training Program
4864 JACKSON ST, DEPT. OF FAMILY MEDICINE
MONROE, LA 71202
Ouachita Parish (318) 330-7615
ANN MARIE CLACK WHNP
Nurse Practitioner (Women's Health)
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7000
MR. JONATHAN D BREWER PA
Physician Assistant (Medical)
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7626

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 Kathleen Moore's NPI number?

The NPI number for Kathleen Moore is 1205975844. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Kathleen Moore located?

Kathleen Moore practices at 4864 Jackson St, Monroe, LA 71202. The listed phone number is (318) 330-7626.

What is Kathleen Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kathleen Moore was last updated on February 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.