Individual provider Active NPI

Dana Lynn Moore, CPM, LM(CA)

  • Midwife
  • Marysville, CA
National Provider Identifier
1063775302
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM686 Issued in CA
Practice address
1930 N Beale Rd
Marysville, CA 95901-6915
Phone
(469) 669-8059
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM686 CA Primary
Lactation Consultant (Non-RN) 174N00000X
Doula 374J00000X

Addresses

Primary practice location

1930 N Beale Rd
Marysville, CA 95901-6915

Mailing address

1930 N Beale Rd
Marysville, CA 95901-6915
Phone (469) 669-8059

Other practice location 1

3013 Nystrom Ct
Live Oak, CA 95953-2087
Phone (469) 669-8059

Other practice location 2

920 Chestnut St
Yuba City, CA 95991-4020
Phone (530) 763-4252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Baby Buddies Birth Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8237/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1063775302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 N BEALE RD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016915",
            "telephone_number": "469-669-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 N BEALE RD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016915",
            "telephone_number": "469-669-8059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3013 Nystrom Ct",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "CA",
            "postal_code": "959532087",
            "country_code": "US",
            "telephone_number": "469-669-8059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959914020",
            "country_code": "US",
            "telephone_number": "530-763-4252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CPM, LM(CA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM686",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.