Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Marie Moore, APRN-CNP

Individual provider Adult Health Nurse Practitioner · NPI 1053573717

Kathleen Marie Moore, APRN-CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2012, 14 years ago. Practices with Osu Otolaryngology Head and Neck Surgery LLC, a 68-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2008
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Practice location Address checks out

915 Olentangy River Rd Ste 4000
Columbus, OH 43212-3154
Phone: (614) 366-3687
Fax: (614) 293-9698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN.CNP.13664 (OH)

Record details

NPI number1053573717
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 25, 2008
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Osu Otolaryngology Head And Neck Surgery Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Columbus