Shannon Moore, ARNP
NPI 1417395385 · Women's Health Nurse Practitioner · Puyallup, WA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Moore, ARNP is a Women's Health Nurse Practitioner provider in Puyallup, WA (NPI 1417395385).
Provider details
- NPI number
- 1417395385
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- License
- AP60386228 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-12
- Last updated
- 2013-06-12
Frequently asked questions
- What is Shannon Moore's NPI number?
- Shannon Moore's National Provider Identifier (NPI) is 1417395385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Moore's specialty?
- Shannon Moore is listed in the NPPES registry with a primary specialty of Women's Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Moore located?
- Shannon Moore's practice location on file with NPPES is 11102 Sunrise Blvd E, Puyallup, WA 98374-8846.
- What is Shannon Moore's phone number?
- The practice phone number listed in the NPPES registry for Shannon Moore is (253) 697-7350.
- Does Shannon Moore accept Medicare?
- Shannon Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Moore's NPI active?
- Yes — Shannon Moore's NPI (1417395385) is active in the NPPES registry as of the last update on 2013-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.