Active NPI
Michelle-Lee Moore, APRN
- Nurse Practitioner
- Topeka, KS
National Provider Identifier
1689922742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-75678
- Practice address
- 1500 SW 10TH Ave
Topeka, KS 66604-1301 - Phone
- (785) 354-5242
- NPI assigned
- Aug 21, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 2012029472 | MO | |
| Nurse Practitioner | 363L00000X | 53-75678 | KS | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 53-75678 | KS |
Addresses
Primary practice location
1500 SW 10TH Ave
Topeka, KS 66604-1301
Mailing address
1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone (785) 354-5242
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ofell37942@stormontvaildirect.org | Direct | COTTON O'NEIL CLINIC REVOCABLE TRUST |
| Direct Messaging Address | mmoore6974@stormontvaildirect.org | Direct | STORMONT-VAIL HEALTHCARE INC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75678 | KS | MD | Nurse Practitioner |
| 2012029472 | MO | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- mmoore6974@stormontvaildirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1689922742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SW 10TH AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041301",
"telephone_number": "785-354-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SW 10TH AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041301",
"telephone_number": "785-354-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MICHELLE-LEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "2012029472",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-75678",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KS",
"license": "53-75678",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ofell37942@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure messaging",
"affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1500 SW 10th Ave",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666041301",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmoore6974@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure messaging",
"affiliationName": "STORMONT-VAIL HEALTHCARE INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1500 SW 10th Ave",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666041301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.