Active NPI
Royal Oak Healthcare PLLC
- Multi-Specialty Clinic/Center
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ROYAL OAK HEALTHCARE PLLC
- Practice address
- 1332 Linden St Ste 1
Longmont, CO 80501-3289 - Phone
- (720) 600-4637
- Fax
- (720) 815-0443
- NPI assigned
- Jul 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Moore, BSN, RN, FNP-C
- Title
- Owner
- Phone
- (970) 412-2395
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
1332 Linden St Ste 1
Longmont, CO 80501-3289
Mailing address
1151 Eagle Dr # 311
Loveland, CO 80537-8020
Phone (970) 412-2395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2311118 | Royal Oak Healthcare | Certificate of waiver | Sep 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
1332 Linden St
Ste 1
Longmont, CO 80501
Phone (303) 485-7117
2004 W 15th St
Ste 2
Loveland, CO 80538
Phone (970) 217-2486
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Longmont, CO
- NPI 1447866082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752105600000",
"number": "1942039607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 EAGLE DR # 311",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805378020",
"telephone_number": "970-412-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 LINDEN ST STE 1",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013289",
"telephone_number": "720-600-4637",
"fax_number": "720-815-0443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL OAK HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-31",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-412-2395",
"authorized_official_credential": "BSN, RN, FNP-C"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.