Active NPI
Vivian Marie Moise, MD
- Spinal Cord Injury Medicine Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- MD00023674
- Practice address
- 715 S Cowley St Ste 228
Spokane, WA 99202-1383 - Phone
- (509) 473-6706
- Fax
- (509) 473-6704
- NPI assigned
- Dec 4, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD00023674 | WA | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | MD00023674 | WA | Primary |
| Specialist | 174400000X | MD00023674 | WA |
Addresses
Primary practice location
715 S Cowley St Ste 228
Spokane, WA 99202-1383
Mailing address
PO Box 31001-4114
Pasadena, CA 91110-0001
Phone (866) 747-2455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011435 | Medicaid | WA | |
| 78446 | Other | WA | LABOR 7 INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of California, San Francisco School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 E Columbia Ave
Colville, WA 99114-3354
Phone (509) 684-3701
715 S Cowley St
Suite 228
Spokane, WA 99202-1383
Phone (509) 473-6706
Hospital & facility affiliations
- Prov Sacred HRT Med Ctr & Childs Hosp.
- Providence St Luke'S Rehabilitation Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00023674 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Vivian Moise MD PC | Spinal Cord Injury Medicine | Past | Accepting new patients |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
715 S Cowley St
Ste 228
Spokane, WA 99202
Phone (509) 473-6706
16528 E Desmet Ct
Ste 1600
Spokane Valley, WA 99216
Phone (509) 944-8900
Interoperability endpoints
- vmoise348877@wm.providencedirect.org
Organizations & group practices 4
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.
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
Physical Medicine & Rehabilitation
-
- Spinal Cord Injury Medicine Physician
- Spokane, WA
- NPI 1326241043
-
- Family Medicine Physician
- Colville, WA
- NPI 1083968879
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Hoquiam, WA
- NPI 1043374119
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
- Rehabilitation Hospital
- Spokane, WA
- NPI 1497752091
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1801954722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001-4114",
"city": "PASADENA",
"state": "CA",
"postal_code": "911100001",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S COWLEY ST STE 228",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021383",
"telephone_number": "509-473-6706",
"fax_number": "509-473-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOISE",
"first_name": "VIVIAN",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "MD00023674",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "WA",
"license": "MD00023674",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00023674",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011435",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR 7 INDUSTRIES",
"identifier": "78446",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.