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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KATIE A MOORE
NPI 1265357479
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since August 13, 2026
1111 W 17TH ST, TULSA, OK 74107(918) 350-5754 Get Directions Write a Review

NPPES record added: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katie A Moore NPPES

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

KATIE A MOORE (NPI 1265357479) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1265357479
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATIE A MOORE
Location Address1111 W 17TH STTulsa, OK 74107-1898
Mailing Address1111 W 17th StTulsa, OK 74107-1898
Phone(918) 350-5754
Sole ProprietorYes
Enumeration DateAugust 13, 2026
NPPES CertifiedAugust 13, 2026
✔ NPI 1265357479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 W 17TH ST, Tulsa, OK 74107
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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.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

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 Katie Moore's NPI number?

The NPI number for Katie Moore is 1265357479. It was assigned to this individual provider in the NPPES registry on August 13, 2026.

Where is Katie Moore located?

Katie Moore practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 350-5754.

What is Katie Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Katie Moore was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.