Active NPI
Colleen Lee Cook-Moine, M.D.
- Pediatrics Physician
- Lancaster, PA
National Provider Identifier
1821077330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD046891L
- Practice address
- 1725 Oregon Pike
Lancaster, PA 17601-4206 - Phone
- (717) 569-8518
- Fax
- (717) 569-3903
- NPI assigned
- Jan 12, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD046891L | PA | Primary |
Addresses
Primary practice location
1725 Oregon Pike
Lancaster, PA 17601-4206
Mailing address
71 Spring Hill LN
Mountville, PA 17554-1065
Phone (717) 285-4145
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD046891L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Park Pediatric Associates, LLP | Pediatrics | Current | Accepting new patients |
| The Behavioral Health and Wellness Academy | Past | Accepting new patients |
Interoperability endpoints
- ccookmoine@direct.edenparkpeds.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Lancaster, PA
- NPI 1023077419
-
- Clinical Psychologist
- Lancaster, PA
- NPI 1992219588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1821077330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 SPRING HILL LN",
"city": "MOUNTVILLE",
"state": "PA",
"postal_code": "175541065",
"telephone_number": "717-285-4145",
"fax_number": "717-569-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 OREGON PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014206",
"telephone_number": "717-569-8518",
"fax_number": "717-569-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK-MOINE",
"first_name": "COLLEEN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-12",
"last_updated": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD046891L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.