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KELLY MOORE
NPI 1770977563
Nurse Practitioner - Psychiatric/Mental Health in Yuma, AZ

Active since March 19, 2015
101 W 16TH ST # 1128, YUMA, AZ 85364(907) 931-8618 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 22, 2022, Jul 26, 2021, Nov 9, 2020 (3 updates tracked since 2020).

About Kelly Moore NPPES

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

KELLY MOORE (NPI 1770977563) is an individual psychiatric/mental health provider in Yuma, Arizona, licensed in Alaska (162387) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1770977563
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY MOORE
Location Address101 W 16TH ST # 1128Yuma, AZ 85364-4733
Mailing Address101 W 16th St # 1128Yuma, AZ 85364-4733 · (907) 931-8618
Phone(907) 931-8618
Sole ProprietorNo
Enumeration DateMarch 19, 2015
Last NPPES UpdateNovember 22, 20223 updates tracked since enumeration
NPPES CertifiedNovember 22, 2022
✔ NPI 1770977563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AK · 162387
Also ListedRegistered NurseTaxonomy 163W00000X · License 37437 (AK)
101 W 16TH ST # 1128, Yuma, AZ 85364
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 1770977563. It was assigned to this individual provider in the NPPES registry on March 19, 2015.

Where is Kelly Moore located?

Kelly Moore practices at 101 W 16th St # 1128, Yuma, AZ 85364. The listed phone number is (907) 931-8618.

What is Kelly Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Kelly Moore accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Kelly Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Moore was last updated on November 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.