Individual provider Active NPI

Daniel Lewis Moore, NP

  • Family Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1912519117
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8620638-4405 Issued in UT
Practice address
4877 N Ravencrest LN
Lehi, UT 84048-7723
Phone
(801) 348-7172
Fax
(833) 972-4809
NPI assigned
Aug 19, 2020
Last updated
Mar 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8620638-4405 UT Primary

Addresses

Primary practice location

4877 N Ravencrest LN
Lehi, UT 84048-7723

Mailing address

4877 N Ravencrest LN
Lehi, UT 84048-7723
Phone (801) 348-7172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20200921003000 UT Practitioner - Nurse Practitioner 2668890765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Rehabilitation Physicians LLCGroup PAC ID 7214334614, 44 clinicians
Innovative Wound Solutions LLCGroup PAC ID 3072954759, 23 clinicians

Practice addresses (Care Compare)

2750 N Digital Dr
Lehi, UT 84043-6651
Phone (801) 215-9309

4141 S Highland Dr
Unit 304
Holladay, UT 84124-2642
Phone (480) 493-0900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Wound Solutions, LLC CurrentSince Dec 11, 2025 Accepting new patients

Locations

4141 S Highland Dr
Unit 304
Salt Lake City, UT 84124
Phone (480) 493-0900

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1912519117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4877 N RAVENCREST LN",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840487723",
            "telephone_number": "801-348-7172",
            "fax_number": "435-986-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4877 N RAVENCREST LN",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840487723",
            "telephone_number": "801-348-7172",
            "fax_number": "833-972-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DANIEL",
        "middle_name": "LEWIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8620638-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.