NPIMap

Individual provider Active NPI

David Scott Moran, FNP-C

  • Family Nurse Practitioner
  • Sandpoint, ID
National Provider Identifier
1841531647
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
67431 Issued in ID
Practice address
810 Sixth Ave
Sandpoint, ID 83864-5396
Phone
(931) 622-5901
Fax
(208) 263-7198
NPI assigned
Mar 5, 2013
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0000931-C-NP CO
Family Nurse Practitioner 363LF0000X 67431 ID Primary
Family Medicine Physician 207Q00000X AP20569 TN

Addresses

Primary practice location

810 Sixth Ave
Sandpoint, ID 83864-5396

Mailing address

810 Sixth Ave
Sandpoint, ID 83864-5396
Phone (931) 622-5901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210513002459 ID Practitioner - Nurse Practitioner 3678906088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6509 Hwy 2
Suite 101
Priest River, ID 83856-6633
Phone (208) 448-2321

6615 Comanche St
Bonners Ferry, ID 83805-7523
Phone (208) 267-1718

810 6TH Ave
Sandpoint, ID 83864-5396
Phone (208) 263-7101

PO Box
Sandpoint, ID 83864

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP20569TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boundary Regional Community Health Center Inc Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Boundary Regional Community Health Center, Inc. Family Medicine Current Accepting new patients
Boundary Regional Community Health Center Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

6615 Comanche St
Bonners Ferry, ID 83805
Phone (208) 267-1718

6509 Highway 2
Ste 101
Priest River, ID 83856
Phone (208) 448-2321

810 N Sixth Ave
Sandpoint, ID 83864
Phone (208) 263-7101

Interoperability endpoints

  • Direct secure messaging: david.moran.1@32745.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1841531647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SIXTH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838645396",
            "telephone_number": "931-622-5901",
            "fax_number": "208-263-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SIXTH AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838645396",
            "telephone_number": "931-622-5901",
            "fax_number": "208-263-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-05",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0000931-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "67431",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "AP20569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.