| Dr Amanda Caye Moore, DNP | |
|
222 Southway Ave Ste 2b, Lewiston, ID 83501-2703 | |
| (208) 799-5370 | |
| Not Available |
| Full Name | Dr Amanda Caye Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 222 Southway Ave Ste 2b, Lewiston, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184391146 | NPI | - | NPPES |
| MOOREAC200Q9 | Other | WA | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61196279 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 69128 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph Hospital Llc | 8325325806 | 43 |
| Entity Name | St Joseph Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda Caye Moore, DNP 625 6th Ave, Lewiston, ID 83501-2424 Ph: (208) 750-7464 | Dr Amanda Caye Moore, DNP 222 Southway Ave Ste 2b, Lewiston, ID 83501-2703 Ph: (208) 799-5370 |
Mrs. Nicole M Engledow, ARPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 8th Ave, Lewiston, ID 83501 Phone: 208-792-2685 Fax: 208-792-2882 | |
Susan P Stutzman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-3100 Fax: 208-799-0349 | |
Anita Ringering, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Warner Dr, Ste 4, Lewiston, ID 83501 Phone: 208-413-3835 | |
Spencer Godfrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tracy Streibick Flynn, FNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tayler Lyndsey Holman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3428 5th St, Lewiston, ID 83501 Phone: 509-552-6674 | |
Ms. Leslie Corrine Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-263-9757 Fax: 208-965-8128 |