Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Denise Moore

Individual provider Family Nurse Practitioner · NPI 1346705472

Denise Moore is a Nurse Practitioner in Crestwood, Kentucky. Qualified in 2018, 8 years ago. Practices with Louisville Observational Medicine Associates PSC, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2019

Practice location Address checks out

4102 Deer Run Rd
Crestwood, KY 40014-9227
Phone: (502) 758-0795
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1373 E State Road 62, Madison, IN 47250-7328 — (812) 801-0800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3013070 (KY)

Record details

NPI number1346705472
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 3, 2019
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address4102 Deer Run Rd, Crestwood, KY 40014-9227

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Louisville Observational Medicine Associates Psc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crestwood