Active NPIIndividual provider

Kelsey L Moore, NP

Nurse Practitioner, Pediatrics in Worcester, Massachusetts

NPI Number1821532391
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
—
Last updated
August 5, 2021

Kelsey Lynn Moore is a Nurse Practitioner, Pediatrics based in Worcester, MA. Kelsey Lynn Moore practices in Worcester, MA and has the professional credentials of NP. The NPI Number for Kelsey Lynn Moore is 1821532391 and holds a License No. RN2295244 (MA). The current practice location address for Kelsey Lynn Moore is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-439-0227.

Provider Profile Details

NPI Number
1821532391
Provider Name
Kelsey Lynn Moore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-439-0227
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Other Names
Kelsey Lynn Vannostrand, NP (Former Name)
Provider Enumeration Date
December 18, 2016
Last Update Date
August 5, 2021
Certification Date
August 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-439-0227
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
8 Cavour Cir
West Boylston, MA 01583-1906
City
West Boylston
State
MA
Zip
01583-1906
Phone Number
508-439-0227

License Information

License Number
RN2295244
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelsey L Moore, NP?

The NPI number of Kelsey L Moore, NP is 1821532391. It was assigned on December 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Kelsey L Moore, NP?

Kelsey L Moore, NP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN2295244.

Where does Kelsey L Moore, NP practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-439-0227 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821532391 directly on the NPPES registry website.

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