KATHERINE AINSLEY MOORE CNC NPI 1235875196

NPI Information

NPI: 1235875196
Provider Name: KATHERINE AINSLEY MOORE, CNC
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
4564 S HARVARD AVE STE B
TULSA, OK
ZIP 74135
Phone: (918) 508-2220
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Katherine Ainsley Moore, CNC is a nutrition and education nutritionist in Tulsa, OK. Katherine Ainsley Moore, CNC NPI is 1235875196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4564 S HARVARD AVE STE B
TULSA, OK
ZIP 74135-918
Phone: (918) 508-2220

The enumeration date for this NPI number is 5/12/2022 and was last updated on 5/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education	1220801859		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T084173163	OTHER		INSURANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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