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

Kimberly Moore, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1407371644

Kimberly Moore, NURSEPRACTITIONER is a Nurse Practitioner in Poughkeepsie, New York. Qualified in 2017, 9 years ago. Practices with Nuvance Health Medical Practice PC, a 575-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

375 Hooker Ave
Poughkeepsie, NY 12603-3627
Phone: (845) 454-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 342112 (NY)

Record details

NPI number1407371644
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 9, 2017
Last updated in NPPESAugust 9, 2017
Mailing address25 Rosalind Rd, Poughkeepsie, NY 12601-5031

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Nuvance Health Medical Practice Pc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Poughkeepsie