Active NPI
Jane Ann Moore, MD
- General Practice Physician
- Tacoma, WA
National Provider Identifier
1710936208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD00020608
- Practice address
- 6002 Westgate Blvd
Suite 160
Tacoma, WA 98406-2571 - Phone
- (253) 759-9902
- Fax
- (253) 759-5504
- NPI assigned
- May 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD00020608 | WA | Primary |
Addresses
Primary practice location
6002 Westgate Blvd
Suite 160
Tacoma, WA 98406-2571
Mailing address
6002 Westgate Blvd
Suite 160
Tacoma, WA 98406-2571
Phone (253) 759-9902
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1105436 | Medicaid | WA | |
| M07731 | Other | WA | REGENCE |
Other names 1
- Jane Ann Balderston
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atkins Chiropractic, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- University Place, WA
- NPI 1831358910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710936208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 WESTGATE BLVD",
"address_2": "SUITE 160",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062571",
"telephone_number": "253-759-9902",
"fax_number": "253-759-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 WESTGATE BLVD",
"address_2": "SUITE 160",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062571",
"telephone_number": "253-759-9902",
"fax_number": "253-759-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JANE",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "MD00020608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1105436",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "M07731",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "BALDERSTON",
"middle_name": "ANN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.