Amanda Lee Moore, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95040394 Issued in CA

Practice address

680 E Colorado Blvd Ste 180
Pasadena, CA 91101-6144

Phone

(916) 252-3677

NPI assigned

May 26, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Alpine Management Enterprises Inc.

  • Home Health Agency
  • Elk Grove, CA
  • NPI 1194234351

  Psychiatric/Mental Health

  NPD (past) Authorized official
• Heartland Child & Family Services

  • Adolescent and Children Mental Health Clinic/Center
  • Sacramento, CA
  • NPI 1295814739
  NPD (past)

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1184555377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 WATT AVE STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216245",
            "telephone_number": "916-418-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E COLORADO BLVD STE 180",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911016144",
            "telephone_number": "916-252-3677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2368 Maritime Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957583655",
            "country_code": "US",
            "telephone_number": "916-312-6001 x514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6833 Stockton Blvd Ste 485",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232376",
            "country_code": "US",
            "telephone_number": "916-942-9060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2829 Watt Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958216245",
            "country_code": "US",
            "telephone_number": "916-418-0828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "95254874",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95040394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie Joohyun Moon, DAOM, L.AC.
• Eliot Moon, M.D.
• Helen Heng-Shan Moon, M.D.
• Reanna Moon, R.N.
• Earl Moore-Jeffries, MD
• Ann Moore, MD
• Brenton L Moore
• Daniel Carl Moore, M.D.
• Darryl Anthony Moore
• David Moore

• Psychiatric/Mental Health Nurse Practitioner in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• 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.