NPI age
5 years
Enumerated 2020-07-24
● Active
Type 1 · Individual
Kimberly Moore
Moore is 1 of 2 preventive medicine providers in Stephenville and 1 of 14 in Texas.
Primary specialty
Preventive Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-07-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 14 active preventive medicine providers in Texas.
NPI age
5 years
↓ 1 yr below median (6 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Practice location
1333 W Washington St
Stephenville, TX 764014168
Mailing address
1650 W Lingleville Rd Apt 107
Stephenville, TX 764011825
Specialties
-
Preventive Medicine PrimaryA preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | ZGP529006652 | BLUECROSS BLUESHIELD |
Practice context
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.