Individual provider Active NPI

Shanna Marie Moore, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1144625542
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60889399 Issued in WA
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

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181025001566 ID Practitioner - Nurse Practitioner 7810212248 Reassigns benefits to 2 organizations
I20181025001817 WA Practitioner - Nurse Practitioner 7810212248 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
APRN-131649MTMDFamily Nurse Practitioner
10001135ORMDFamily Nurse Practitioner
AP126728TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Nov 1, 2023 Accepting new patients
Moore Family Clinics, PLLC Family CurrentSince Mar 1, 2025 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Oct 1, 2018 Accepting new patients
Molina Care Connections, LLC. CurrentSince Oct 1, 2018 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Consumer Wellness Solutions, LLC PastSince Jul 1, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.