Individual provider Active NPI

Jane L Moore, FNP

  • Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1679517783
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10158 Issued in CO
Practice address
5500 E Peakview Ave
Centennial, CO 80121
Phone
(973) 661-8300
Fax
(973) 661-8333
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 118138 MO
Nurse Practitioner 363L00000X 10158 CO Primary

Addresses

Primary practice location

5500 E Peakview Ave
Centennial, CO 80121

Mailing address

13204 W Utah Cir
Lakewood, CO 80228-4228
Phone (303) 986-3495

Other practice location 1

2800 Youngfield St
Lakewood, CO 80215-7210
Phone (973) 661-8300

Other practice location 2

11901 E Mississippi Ave
Aurora, CO 80012-2809
Phone (973) 661-8300

Other practice location 3

3777 W 26th Ave
Denver, CO 80211-4003
Phone (973) 661-8300

Other practice location 4

5000 E Arapahoe Rd
Centennial, CO 80122-2302
Phone (973) 661-8300

Other practice location 5

1078 S 88th St
Louisville, CO 80027-9452
Phone (973) 661-8300

Other practice location 6

555 S Pierce St
Lakewood, CO 80226-3470
Phone (973) 661-8300

Other practice location 7

2479 S Clermont St
Denver, CO 80222-6588
Phone (973) 661-8300

Other practice location 8

205 W 29th Avenue
Denver, CO 80211-3805
Phone (973) 661-8300

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10158COMDNurse Practitioner
118138MOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1679517783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13204 W UTAH CIR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284228",
            "telephone_number": "303-986-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 E PEAKVIEW AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80121",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Youngfield St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802157210",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11901 E Mississippi Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800122809",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3777 W 26th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802114003",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 E Arapahoe Rd",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801222302",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1078 S 88th St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279452",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S Pierce St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802263470",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2479 S Clermont St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802226588",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 W 29th Avenue",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802113805",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JANE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "118138",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "10158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.