KIMBRA LEE MOORE NPI 1992212211

NPI Information

  • NPI: 1992212211
  • Provider Name: KIMBRA LEE MOORE
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 128 S WESTWOOD DR
    LIMA, OH
    ZIP 45805
  • Phone: (419) 231-5351

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NPI Details

Kimbra Lee Moore is a gerontology nurse practitioner in Lima, OH with 10 years of experience. Kimbra Lee Moore NPI is 1992212211. 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:

128 S WESTWOOD DR
LIMA, OH
ZIP 45805-634
Phone: (419) 231-5351
Fax: (419) 302-1481

The NPI 1992212211 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • New patient custodial care facility, group care, or assisted living visit, typically 45 minutes (HCPCS:99326)

The enumeration date for this NPI number is 1/8/2018 and was last updated on 8/21/2025.

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
1363LG0600XNurse PractitionerGerontologyAPRN.CNP.020726OHIOYes
2363L00000XNurse PractitionerAPRN.CNP.020726OHIONo

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: 11/21/2025

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