Active NPI
Shanna Marie Moore, MSN, RN, FNP-C
- Family Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60889399
- Practice address
- 318 E Rowan Ave Ste 201
Spokane, WA 99207-1200 - Phone
- (509) 275-8600
- Fax
- (509) 275-2333
- NPI assigned
- Oct 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP126728 | TX | |
| Family Nurse Practitioner | 363LF0000X | APRN-131649 | MT | |
| Family Nurse Practitioner | 363LF0000X | 10001135 | OR | |
| Family Nurse Practitioner | 363LF0000X | 59453 | ID | |
| Family Nurse Practitioner | 363LF0000X | AP60889399 | WA | Primary |
Addresses
Primary practice location
318 E Rowan Ave Ste 201
Spokane, WA 99207-1200
Mailing address
17908 N Saddle Hill Rd
Colbert, WA 99005-9347
Phone (509) 890-3901
Other practice location 1
509 Olive Way Ste 1259
Seattle, WA 98101-1745
Phone (888) 803-3370
Other practice location 2
180 Sutter St
San Francisco, CA 94104-4007
Phone (415) 687-4350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Texas Tech University Health Science Center School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
318 E Rowan Ave
Suite 201
Spokane, WA 99207-1200
Phone (509) 275-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-131649 | MT | MD | Family Nurse Practitioner |
| 10001135 | OR | MD | Family Nurse Practitioner |
| AP126728 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Current | Accepting new patients | |
| Moore Family Clinics, PLLC | Family | Current | Accepting new patients |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Consumer Wellness Solutions, LLC | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519
15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727
318 E Rowan Ave
Ste 201
Spokane, WA 99207
Phone (509) 275-8600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEIHDD/Endpoint/CEIHDD
Organizations & group practices 6
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.
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- Specialist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1144625542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17908 N SADDLE HILL RD",
"city": "COLBERT",
"state": "WA",
"postal_code": "990059347",
"telephone_number": "509-890-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 E ROWAN AVE STE 201",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071200",
"telephone_number": "509-275-8600",
"fax_number": "509-275-2333"
}
],
"practiceLocations": [
{
"address_1": "509 Olive Way Ste 1259",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981011745",
"country_code": "US",
"telephone_number": "888-803-3370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 Sutter St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941044007",
"country_code": "US",
"telephone_number": "415-687-4350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "SHANNA",
"middle_name": "MARIE",
"credential": "MSN, RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP126728",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "APRN-131649",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10001135",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "59453",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60889399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.