KIMBERLY AUNDREA MOORE
NPI 1528689205
Peer Specialist in Waterford, MI

Active since May 04, 2020
279 SUMMIT DR, WATERFORD, MI 48328(248) 745-4900 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Aundrea Moore NPPES

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

KIMBERLY AUNDREA MOORE (NPI 1528689205) is an individual peer specialist in Waterford, Michigan and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1528689205
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKIMBERLY AUNDREA MOORE
Location Address279 SUMMIT DRWaterford, MI 48328-3364
Mailing Address279 Summit DrWaterford, MI 48328-3364 · (248) 745-4900
Sole ProprietorYes
Enumeration DateMay 4, 2020
NPPES CertifiedMay 4, 2020
NPI 1528689205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
279 SUMMIT DR, Waterford, MI 48328

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.

Exclusive Provider Organization
279 SUMMIT DR
WATERFORD, MI 48328
Registered Nurse (Case Management)
279 SUMMIT DR
WATERFORD, MI 48328
Psychiatry & Neurology (Psychiatry)
279 SUMMIT DR
WATERFORD, MI 48328
Social Worker (Clinical)
279 SUMMIT DR
WATERFORD, MI 48328
Peer Specialist
279 SUMMIT DR
WATERFORD, MI 48328
Case Manager/Care Coordinator
279 SUMMIT DR
WATERFORD, MI 48328
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328

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's NPI number?

The NPI number for Kimberly Moore is 1528689205. It was assigned to this individual provider in the NPPES registry on May 4, 2020.

Where is Kimberly Moore located?

Kimberly Moore practices at 279 Summit Dr, Waterford, MI 48328. The listed phone number is (248) 745-4900.

What is Kimberly Moore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Moore was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.