MAUREEN C MOORE NPI 1619953734

NPI Information

  • NPI: 1619953734
  • Provider Name: MAUREEN C MOORE
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1024 S LEMAY AVE
    FORT COLLINS, CO
    ZIP 80524
  • Phone: (303) 306-7783

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NPI Details

Maureen C Moore is a nurse practitioner in Fort Collins, CO. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Maureen C Moore NPI is 1619953734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1024 S LEMAY AVE
FORT COLLINS, CO
ZIP 80524-929
Phone: (303) 306-7783
Fax: (303) 306-7753

The NPI 1619953734 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 3/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN-6552COLORADONo
2363LF0000XNurse PractitionerFamilyNP-3071COLORADONo
3363L00000XNurse PractitionerNP-3071COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1COA106502MEDICARE PINCOLORADO
2P00944802OTHERCOLORADOMEDICARE RAILROAD CARRIER PTAN
3P40582MEDICARE UPINCOLORADO
400833843MEDICAIDCOLORADO
5C521858MEDICARE PINCOLORADO
6P01148022OTHERCOLORADORAILROAD MEDICARE PIN
7COA105027MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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