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MRS. KATHLEEN MOORE RN, CDE
NPI 1508103698
Registered Nurse - Diabetes Educator in Salt Lake City, UT

Active since January 09, 2013
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148(801) 582-1565(801) 584-1576 Get Directions Write a Review

NPPES record last updated: January 9, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Kathleen Moore Rn, Cde NPPES

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

MRS. KATHLEEN MOORE RN, CDE (NPI 1508103698) is an individual diabetes educator provider in Salt Lake City, Utah, licensed in Utah (220464-3102) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1508103698
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameMRS. KATHLEEN MOORECredential: RN, CDE
Location Address500 FOOTHILL BLVDSalt Lake City, UT 84148-0001
Mailing Address500 Foothill BlvdSalt Lake City, UT 84148-0001 · (801) 582-1565 · Fax (801) 584-1576
Phone(801) 582-1565
Fax(801) 584-1576
Sole ProprietorNo
Enumeration DateJanuary 9, 2013
✔ NPI 1508103698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in UT · 220464-3102
500 FOOTHILL BLVD, Salt Lake City, UT 84148
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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.

DR. WILLARD DERE M.D.
Internal Medicine
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MR. DAVID SCOTT ARCHIBALD PA
Physician Assistant (Medical)
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
DR. MICHAEL REED SLATER D.D.S.
Dentist (General Practice)
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 584-1206
DR. STEPHANIE A CARNEY MD
Internal Medicine
500 FOOTHILL BLVD, MAILCODE 110
SLC, UT 84148
Salt Lake County (801) 582-1565
MR. KEVIN B RAFF LCSW
Social Worker (Clinical)
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
REBECCA HENKELS PHARMD
Pharmacist
500 FOOTHILL BLVD
SLC, UT 84148
Salt Lake County (801) 582-1565
DR. DELANEY DAWN GLAZIER DDS
Student in an Organized Health Care Education/Training Program
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148
Salt Lake County (801) 584-1206
MS. MAXINE JAN MILLER
Pharmacist
500 FOOTHILL BLVD
SLC, UT 84148
Salt Lake County (801) 582-4565

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 1508103698. It was assigned to this individual provider in the NPPES registry on January 9, 2013.

Where is Kathleen Moore located?

Kathleen Moore practices at 500 Foothill Blvd, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Kathleen Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Kathleen Moore was last updated on January 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.