Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAILO'S MENTAL RETREAT
NPI 1427945518
Nurse Practitioner in Greenville, NC

Active since June 20, 2025
125 OAKMONT DR STE A4, GREENVILLE, NC 27858(252) 414-3318(252) 677-6551 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 21, 2026, Aug 17, 2026, Jul 17, 2026 and 2 more (5 updates tracked since 2025).

About Kailo's Mental Retreat NPPES

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

KAILO'S MENTAL RETREAT (NPI 1427945518) is a healthcare organization registered as a nurse practitioner in Greenville, North Carolina and active in the NPI registry since June 2025. The organization lists Lisa Michelle Moore, Msn, Pmhnp-c, as its authorized official.

NPPES Registry Identity

NPI1427945518
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameKAILO'S MENTAL RETREAT
Location Address125 OAKMONT DR STE A4Greenville, NC 27858-5242
Mailing Address125 Oakmont Dr Ste A4Greenville, NC 27858-5242 · (252) 414-3318 · Fax (252) 677-6551
Fax(252) 677-6551
Organization SubpartNo
Authorized OfficialLisa Michelle MooreMsn, Pmhnp-c · (252) 414-3318
Enumeration DateJune 20, 2025
Last NPPES UpdateSeptember 21, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1427945518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
125 OAKMONT DR STE A4, Greenville, NC 27858

Other Names 1

Doing Business AsKailo's Mental Retreat

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
125 OAKMONT DR STE A4
GREENVILLE, NC 27858

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 Kailo's Mental Retreat's NPI number?

The NPI number for Kailo's Mental Retreat is 1427945518. It was assigned to this organization in the NPPES registry on June 20, 2025.

Where is Kailo's Mental Retreat located?

Kailo's Mental Retreat is located at 125 Oakmont Dr Ste A4, Greenville, NC 27858. The listed phone number is (252) 414-3318.

What is Kailo's Mental Retreat's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kailo's Mental Retreat was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.