NPI Code Detail JSON Logo

1144275215 NPI number — SHELLEY W. MOORE MD

NPI Number: 1144275215
Health Care Provider/Practitioner: SHELLEY W. MOORE MD

Information about “1144275215” NPI (SHELLEY W. MOORE MD) exists in 1144275215 in HTML format HTML  |  1144275215 in plain Text format TXT  |  1144275215 in PDF (Portable Document Format) PDF  |  1144275215 in an XML format XML  formats.

NPI Number : 1144275215 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144275215",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOORE",
    "FirstName": "SHELLEY",
    "MiddleName": "W.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3519 RICHMOND DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT COLLINS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80526-5995",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-449-0951",
    "MailingAddressFaxNumber": "970-823-9004",
    "FirstLinePracticeLocationAddress": "3519 RICHMOND DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT COLLINS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80526-5995",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-204-0300",
    "PracticeLocationAddressFaxNumber": "970-221-5206",
    "EnumerationDate": "05/24/2006",
    "LastUpdateDate": "11/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207QA0505X",
        "TaxonomyName": "Adult Medicine Physician",
        "LicenseNumber": "54549",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.