Stephanie Elizabeth Alton Moore, RN, BSN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

196-13456 Issued in CO

Practice address

2525 Arapahoe Ave
H-12B
Boulder, CO 80302-6720

Phone

(303) 546-6262

Fax

(303) 546-6263

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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

Bachelor on Science - Nursing, 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.

• Becoming Mothers, Inc.

  • Specialist
  • Boulder, CO
  • NPI 1437400330
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1619183217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 ARAPAHOE AVE",
            "address_2": "H-12B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026720",
            "telephone_number": "303-546-6262",
            "fax_number": "303-546-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 ARAPAHOE AVE",
            "address_2": "H-12B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026720",
            "telephone_number": "303-546-6262",
            "fax_number": "303-546-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEPHANIE",
        "middle_name": "ELIZABETH ALTON",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CO",
            "license": "196-13456",
            "primary": true
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "CO",
            "license": "111029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Moore, CPM,RM
• Franciska Moore
• Jake Moore, BA
• Janice S. Moore, PT, DPT
• Laura Anne Moore, RDN
• Bryn Morales
• Patrick Lee Moran, MD
• Susan L Moran, NNP
• Sarah Anne Morey, RN,BSN,CDE
• Christine Morgan, MA, LPCC

• Lactation Consultant (Registered Nurse) in Boulder, CO
• Providers in Boulder, CO by specialty
• Lactation Consultant (Registered Nurse) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.