Individual provider Active NPI

Colleen Lee Cook-Moine, M.D.

  • Pediatrics Physician
  • Lancaster, PA
National Provider Identifier
1821077330
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD046891L Issued in PA
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

Updated by the provider on Aug 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MD046891LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Park Pediatric Associates, LLP Pediatrics Current Accepting new patients
The Behavioral Health and Wellness Academy PastSince Feb 19, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.