KIMBERLY DAWN MOORE-SALAS IBCLC
NPI 1437670635
Lactation Consultant, Non-RN in Tempe, AZ

Active since June 28, 2017PECOS Enrolled
8400 S KYRENE RD STE 126, TEMPE, AZ 85284(480) 442-8491 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 28, 2017 (2 updates tracked since 2017).

About Kimberly Dawn Moore-salas Ibclc NPPES

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

KIMBERLY DAWN MOORE-SALAS IBCLC (NPI 1437670635) is an individual lactation consultant, non-rn provider in Tempe, Arizona, licensed in Arizona (L-30175) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437670635
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameKIMBERLY DAWN MOORE-SALASCredential: IBCLC
Location Address8400 S KYRENE RD STE 126Tempe, AZ 85284-2172
Mailing Address8400 S Kyrene Rd Ste 126Tempe, AZ 85284-2172 · (480) 442-8491
Sole ProprietorNo
Enumeration DateJune 28, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1437670635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License Licensed in AZ · L-30175
Definition

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.

8400 S KYRENE RD STE 126, Tempe, AZ 85284

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Dawn Moore-salas Ibclc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597248963
PECOS Enrollment IDI20260313001228
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

Registered Nurse (Lactation Consultant)
8400 S KYRENE RD STE 126
TEMPE, AZ 85284
Doula
8400 S KYRENE RD STE 126
TEMPE, AZ 85284

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 Kimberly Moore-salas's NPI number?

The NPI number for Kimberly Moore-salas is 1437670635. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Kimberly Moore-salas located?

Kimberly Moore-salas practices at 8400 S Kyrene Rd Ste 126, Tempe, AZ 85284. The listed phone number is (480) 442-8491.

What is Kimberly Moore-salas's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

Is Kimberly Moore-salas enrolled in Medicare?

Yes. Kimberly Moore-salas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Moore-salas was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.