Active NPI
Daniel Lewis Moore, NP
- Family Nurse Practitioner
- Lehi, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8620638-4405
- 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, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Wound Solutions, LLC | Current | 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.
-
dba Professional Wound Specialists
- Surgery Physician
- Las Vegas, NV
- NPI 1699975144
UT
-
- Physical Medicine & Rehabilitation Physician
- Lehi, UT
- NPI 1023781028
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Timpanogos Regional Hospital
- General Acute Care Hospital
- Orem, UT
- NPI 1497702195
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.