Individual provider Active NPI

Lynette M Moore, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montrose, CO
National Provider Identifier
1457369688
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2575 Issued in CO
Practice address
605 Miami Rd
Montrose, CO 81401-4108
Phone
(970) 252-3200
Fax
(970) 249-8793
NPI assigned
Aug 3, 2006
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2575 CO Primary
Registered Nurse 163W00000X 119121 CO

Addresses

Primary practice location

605 Miami Rd
Montrose, CO 81401-4108

Mailing address

PO Box 1328
Durango, CO 81302-1328
Phone (970) 335-2342

Other practice location 1

281 Sawyer Dr Ste 100
Durango, CO 81303-3409
Phone (970) 259-2162

Other practice location 2

515 28 3/4 Rd
Grand Junction, CO 81501-5016
Phone (970) 263-4918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071207000152 CO Practitioner - Nurse Practitioner 0345339834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

515 28
Grand Junction, CO 81501-5016
Phone (970) 241-6023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
119121COMDRegistered Nurse
2575COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Colorado Mental Health Center Inc CurrentSince Jan 31, 2023 Accepting new patients
Southwest Colorado Mental Health Center, Inc CurrentSince Jan 31, 2023 Accepting new patients
Colorado West Regional Mental Health, Inc. CurrentSince Mar 5, 2026 Accepting new patients

Locations

495 W 4th St
Dove Creek, CO 81324
Phone (970) 677-2291

1970 E 3rd Ave
Ste 1
Durango, CO 81301
Phone (970) 335-2288

281 Sawyer Dr
Ste 100
Durango, CO 81303
Phone (970) 259-2162

2802 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 945-2583

605 Miami Rd
Montrose, CO 81401
Phone (970) 249-9694

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1457369688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813021328",
            "telephone_number": "970-335-2342",
            "fax_number": "970-335-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MIAMI RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014108",
            "telephone_number": "970-252-3200",
            "fax_number": "970-249-8793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Sawyer Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813033409",
            "country_code": "US",
            "telephone_number": "970-259-2162",
            "fax_number": "970-247-5255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 28 3/4 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815015016",
            "country_code": "US",
            "telephone_number": "970-263-4918",
            "fax_number": "970-683-7278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LYNETTE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "2575",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "119121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.