Active NPI
Dana Lynn Moore, CPM, LM(CA)
- Midwife
- Marysville, CA
National Provider Identifier
1063775302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM686
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baby Buddies Birth Center | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Birthing Clinic/Center
- Marysville, CA
- NPI 1700220407
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.