Julie Moore-Fisher, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1051 Issued in ID

Practice address

1132 Burrell Ave
Lewiston, ID 83501-7101

Phone

(208) 743-0231

Fax

(208) 746-7462

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastgate Chiropractic IncorporatedGroup PAC ID 6800056169, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eastgate Chiropractic Incorporated

  • Chiropractor
  • Lewiston, ID
  • NPI 1942575477
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457424152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 BURRELL AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835017101",
            "telephone_number": "208-743-0231",
            "fax_number": "208-746-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 BURRELL AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835017101",
            "telephone_number": "208-743-0231",
            "fax_number": "208-746-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-FISHER",
        "first_name": "JULIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Mills
• Amil Mitchell
• Garrett Alan Mockler, MD
• Shayleigh Montgomery, FNP-C
• Neil Mooney, RN
• Amanda Caye Moore, DNP
• Randall R Moore, RPH
• Lois Elizabeth Moree, LMT
• Christopher Al Moreno, M.D.
• Clinton R Morgan, MD

• Chiropractor in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.