Active NPI
Gina Ann Moore
- Ambulatory Women's Health Care Registered Nurse
- Naperville, IL
National Provider Identifier
1669333134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- 041512977
- Practice address
- 100 Spalding Dr
Naperville, IL 60540-6550 - Phone
- (630) 961-9485
- NPI assigned
- Nov 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 041512977 | IL | Primary |
Addresses
Primary practice location
100 Spalding Dr
Naperville, IL 60540-6550
Mailing address
1483 Garfield Dr
Elburn, IL 60119-7871
Other names 1
- Gina Ann Tito
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041512977 | IL | MD | Ambulatory Women's Health Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763769600000",
"number": "1669333134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1483 GARFIELD DR",
"city": "ELBURN",
"state": "IL",
"postal_code": "601197871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SPALDING DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406550",
"telephone_number": "630-961-9485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "GINA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-22",
"last_updated": "2025-11-22",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "IL",
"license": "041512977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "TITO",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.