Look up the most recent NPI and PECOS records

Kristen Kari Moore

Nurse Anesthetist, Certified Registered

Physician Assistants & Advanced Practice Nursing Providers

3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019

(512) 454-2554 (972) 233-1999

PECOS Enrollment

Based on the most recent information from CMS, provider Kristen Kari Moore does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1033491394
Provider Type
Individual
Full Name
Moore, Kristen Kari
Credential
CRNA

Gender
Female
Sole Proprietor
No
Enumeration Date
9/13/2011
Last Updated
6/24/2020

Contact Information

Practice Location

3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019

(512) 454-2554

Unlisted Fax

Mailing Location

PO Box 840853, Dallas, TX 75284-1019

(972) 233-1999

(972) 233-3666

Provider Taxonomies

Code	Description	License
Code 367500000X Primary	Description Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers	License AP120852 Texas
Code 367500000X	Description Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers	License 798743 Texas

Kristen Kari Moore

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Harrison, Cara L

Bunton, Donna Bourland

Lainez, Yvette Ricks

Resendez, Adelina

Nakajima, Scarlett B

Conrad, Amanda Hoke

Lundblad, Johan

Heath, Randall G

Gardner, Peter

Albritton, Christopher N