Individual provider Active NPI

Julie Moore, NP

  • Nurse Practitioner
  • Nampa, ID
National Provider Identifier
1861959223
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
69699 Issued in ID
Practice address
207 1St St S
Nampa, ID 83651-3703
Phone
(208) 466-7869
Fax
(208) 466-0009
NPI assigned
Feb 21, 2019
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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 69699 ID Primary
Family Nurse Practitioner 363LF0000X 95012549 CA
Registered Nurse 163W00000X 770383 CA

Addresses

Primary practice location

207 1St St S
Nampa, ID 83651-3703

Mailing address

PO Box 9
Nampa, ID 83653-0009
Phone (208) 461-7149

Other practice location 1

733 Cedar St
Garberville, CA 95542-3201
Phone (619) 929-8772

Other practice location 2

101 West Coast Road
Redway, CA 95530
Phone (707) 923-2783

Other practice location 3

223 16th Ave N
Nampa, ID 83687-4058
Phone (208) 467-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821001695 ID Practitioner - Nurse Practitioner 6800223157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Clinics IncGroup PAC ID 4082527353, 75 clinicians

Practice addresses (Care Compare)

207 1St St S
Nampa, ID 83651-3703
Phone (208) 466-7869

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
770383CAMDRegistered Nurse
69699IDMDNurse Practitioner
95012549CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Clinics, Inc. Nurse Practitioner CurrentSince Aug 7, 2023 Accepting new patients
Community Health Clinics, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner Current Accepting new patients

Locations

150 2nd St
Melba, ID 83641
Phone (208) 495-1011

207 1st St S
Nampa, ID 83651
Phone (208) 318-1376

223 16th Ave N
Nampa, ID 83687
Phone (208) 318-1376

Interoperability endpoints

  • Direct secure messaging: jmoore654285@direct.ochin.org
  • Direct secure messaging: julie.moore.p1@direct.rrhc.nextgenshare.com

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 1

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1861959223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530009",
            "telephone_number": "208-461-7149",
            "fax_number": "208-467-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1ST ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513703",
            "telephone_number": "208-466-7869",
            "fax_number": "208-466-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "733 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Garberville",
            "state": "CA",
            "postal_code": "955423201",
            "country_code": "US",
            "telephone_number": "619-929-8772",
            "fax_number": "707-923-3902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 West Coast Road",
            "address_purpose": "LOCATION",
            "city": "Redway",
            "state": "CA",
            "postal_code": "95530",
            "country_code": "US",
            "telephone_number": "707-923-2783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 16th Ave N",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836874058",
            "country_code": "US",
            "telephone_number": "208-467-7654",
            "fax_number": "208-466-5359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JULIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "69699",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012549",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "770383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.