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

KELLY MARIE MOORE FNP-BC
NPI 1649049305
Nurse Practitioner - Family in Encino, CA

Active since December 22, 2023
5120 WOODLEY AVE, ENCINO, CA 91436(628) 432-7476(888) 385-7037 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 28, 2026, May 15, 2024 (2 updates tracked since 2024).

About Kelly Marie Moore Fnp-bc NPPES

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

KELLY MARIE MOORE FNP-BC (NPI 1649049305) is an individual family provider in Encino, California, licensed in California (95028281) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1649049305
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MARIE MOORECredential: FNP-BC
Location Address5120 WOODLEY AVEEncino, CA 91436-1443
Mailing Address6109 Enfield PlRiverside, CA 92506-4712 · (951) 990-2381
Phone(628) 432-7476
Fax(888) 385-7037
Sole ProprietorNo
Enumeration DateDecember 22, 2023
Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1649049305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95028281
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 2025085121 (CA)
5120 WOODLEY AVE, Encino, CA 91436
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Other Names 1

Former Name (1)Kelly Marie Smith

Other Providers at the Same Location NPPES 5

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

MARGARET STEINITZ LCSW
Social Worker (Clinical)
5120 WOODLEY AVE
ENCINO, CA 91436
Los Angeles County (628) 432-7476
DR. CECILEY SCARBROUGH MD
Psychiatry & Neurology (Psychiatry)
5120 WOODLEY AVE
ENCINO, CA 91436
Los Angeles County (628) 432-7476
FRANCESCA PARADA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5120 WOODLEY AVE
ENCINO, CA 91436
Los Angeles County (628) 432-7476
ALEXANDRA RYANN BUMSTED PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5120 WOODLEY AVE
ENCINO, CA 91436
Los Angeles County (628) 432-7476
SARAH GEHRKE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5120 WOODLEY AVE
ENCINO, CA 91436
Los Angeles County (628) 432-7476

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 Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1649049305. It was assigned to this individual provider in the NPPES registry on December 22, 2023. The provider is also known as Kelly Marie Smith.

Where is Kelly Moore located?

Kelly Moore practices at 5120 Woodley Ave, Encino, CA 91436. The listed phone number is (628) 432-7476.

What is Kelly Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Moore was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.