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

Individual provider Physician Assistant · NPI 1548780166

Kathryn Moore, PA-C is a Physician Assistant in Sparks, Nevada. Qualified in 2017, 9 years ago. Practices with Edwards Bell MD PC, a 6-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
9
Licensed in
CA, NV
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2375 E Prater Way
Sparks, NV 89434-9641
Phone: (775) 356-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2166 (NV)
Physician Assistant Taxonomy 363A00000X · Licence 54985 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1548780166
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2017
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Edwards Bell Md Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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