Anna Elisabeth Moore, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD.0000761 Issued in CO

Practice address

201 W Park Dr
Grand Junction, CO 81505-1469

Phone

(970) 245-3338

Fax

(970) 245-9499

NPI assigned

Jun 10, 2013

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 3, 2024 through Jan 3, 2028

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2020.

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1992143176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W PARK DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051469",
            "telephone_number": "970-245-3338",
            "fax_number": "970-245-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PARK DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051469",
            "telephone_number": "970-245-3338",
            "fax_number": "970-245-9499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Kokopelli Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815213308",
            "country_code": "US",
            "telephone_number": "970-858-2530",
            "fax_number": "970-858-1196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Ottley Ave",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815212118",
            "country_code": "US",
            "telephone_number": "970-858-3900",
            "fax_number": "970-858-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANNA",
        "middle_name": "ELISABETH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "POD.0000761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annamoore@fhwco.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Family Health West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "401 Kokopelli Blvd Ste 1",
            "city": "Fruita",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815213308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monument Sport & Spine LLC
• Monument Women'S Healthcare, LLC
• Monumental Health and Wellness LLC
• Monumental Views Optical, LLC
• Alice Rose Moore, MSW, PHD
• Christina L Moore, OT
• Hailey Christine Moore, LCSW
• James Baker Moore, DDS
• Janet L Moore, MD
• John William Moore III, MD

• All providers in Grand Junction, CO
• Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.