KELLY DIANE MOORE RN
NPI 1700552007
Registered Nurse - School in Sierra Vista, AZ

Q: What is Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1700552007. It was assigned to this individual provider in the NPPES registry on August 18, 2021. The provider is also known as Kelly Diane Moore.

Q: What is Kelly Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Moore was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 18, 2021

701 N CARMICHAEL AVE, SIERRA VISTA, AZ 85635(520) 515-2950 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Diane Moore Rn NPPES

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

KELLY DIANE MOORE RN (NPI 1700552007) is an individual school provider in Sierra Vista, Arizona, licensed in Arizona (224481) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1700552007

Entity TypeIndividualFemale

Primary Taxonomy163WS0200X

Provider Legal NameKELLY DIANE MOORECredential: RN

Location Address701 N CARMICHAEL AVESierra Vista, AZ 85635-1160

Mailing Address701 N Carmichael AveSierra Vista, AZ 85635-1160 · (520) 515-2950

Phone(520) 515-2950

Sole ProprietorNo

Enumeration DateAugust 18, 2021

NPPES CertifiedAugust 18, 2021

✔ NPI 1700552007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers

Taxonomy Code163WS0200X

License✔ Licensed in AZ · 224481

701 N CARMICHAEL AVE, Sierra Vista, AZ 85635

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Other Names 1

Professional Name (2)Kelly Diane Moore

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.

MRS. BONNIE LOU SIKKEMA RN

Registered Nurse (School)

701 N CARMICHAEL AVE
SIERRA VISTA, AZ 85635

Cochise County (520) 515-2950

MS. WENDY CECILIA BAIERL RN

Registered Nurse

701 N CARMICHAEL AVE
SIERRA VISTA, AZ 85635

Cochise County (520) 515-2956

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 1700552007. It was assigned to this individual provider in the NPPES registry on August 18, 2021. The provider is also known as Kelly Diane Moore.

Where is Kelly Moore located?

Kelly Moore practices at 701 N Carmichael Ave, Sierra Vista, AZ 85635. The listed phone number is (520) 515-2950.

What is Kelly Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Kelly Moore was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.