Active NPI
Andrea Michelle Moore, RN
- Registered Nurse
- Menlo Park, CA
National Provider Identifier
1700704582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95181146
- Practice address
- 4600 Bohannon Dr Ste 100
Menlo Park, CA 94025-1037 - Phone
- (650) 507-7050
- NPI assigned
- Jul 8, 2026
- Last updated
- Jul 8, 2026
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95181146 | CA | Primary |
Addresses
Primary practice location
4600 Bohannon Dr Ste 100
Menlo Park, CA 94025-1037
Mailing address
1172 Dunsmuir PL
Livermore, CA 94550-6432
Other practice location 1
1172 Dunsmuir Pl
Livermore, CA 94550-6432
Phone (650) 507-7050
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1700704582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 DUNSMUIR PL",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945506432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 BOHANNON DR STE 100",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940251037",
"telephone_number": "650-507-7050"
}
],
"practiceLocations": [
{
"address_1": "1172 Dunsmuir Pl",
"address_purpose": "LOCATION",
"city": "Livermore",
"state": "CA",
"postal_code": "945506432",
"country_code": "US",
"telephone_number": "650-507-7050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "ANDREA",
"middle_name": "MICHELLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95181146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.