Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811533102 Individual Practitioner Male Practitioner

Dustin Moore

Peer Specialist • Louisa, KY

Professional Overview & Biography Verified Profile Summary

Dustin Moore is a registered healthcare professional specializing in Peer Specialist in Louisa, KY. Practice services are available at 60 PROFESSIONAL PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

60 Professional Park Dr

Louisa, KY 412309644

Telephone 6063298588
Associated Practice Facility / Clinic
🏢 Pathways Inc Facility NPI 1982615043

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Louisa, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
795 Specialists

Practicing in Louisa, KY (1987 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-19
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Secondary Practice Locations

125 S Main Cross St

Louisa, KY 412301065

Phone: 6066380938

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amy Piercy

Psychologist

NPI 1003256884
Kala Pinson

Social Worker

NPI 1003280710
Latisha Griffiths

Community Health Worker

NPI 1003491994
Tory Thomas

Marriage & Family Therapist

NPI 1003764192
Taylor Mccarty

Community Health Worker

NPI 1013623735
Brittney Bellman

Peer Specialist

NPI 1013650969

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 19, 2021

Registered at 60 PROFESSIONAL PARK DR, LOUISA, KY 412309644 (Tel: 6063298588)

📍
Updated Business Mailing Address April 19, 2021

Registered at PO BOX 790, ASHLAND, KY 411050790 (Tel: 6063298588)

NPI Profile Active November 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2019

Registered at 125 S MAIN CROSS ST, LOUISA, KY 412301065 (Tel: 6066380938)

📍
Updated Business Mailing Address November 21, 2019

Registered at PO BOX 726, LOUISA, KY 412300726

👤
Provider Name / Credentials Updated November 21, 2019

Recorded as DUSTIN MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2019

Peer Specialist

🟢
Initial NPI Registration & Enumeration November 21, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811533102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2019
Last Update: April 19, 2021
Sole Proprietor: No

Mailing Address

Po Box 790

Ashland, KY 411050790

Phone: 6063298588

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.