Active NPI
Jane L Moore, FNP
- Nurse Practitioner
- Centennial, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10158
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10158 | CO | MD | Nurse Practitioner |
| 118138 | MO | MD | Family 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.