P Praxis·MD
● Active Type 1 · Individual

Holly Kay Moore, NP

Nurse Practitioner·Coeur D Alene, ID· NPI 1295018968 · Enumerated 2011 · 14 years on NPI
Moore is 1 of 92 nurse practitioner providers in Coeur D Alene and 1 of 658 in Idaho.
NPI age
14 years
Enumerated 2011-09-20
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-02-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
14 years
↑ 6 yr above median (8 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-09Enumerated in NPPES
2011 2026

Where they practice

Practice location
3320 N Grand Mill Ln
Coeur D Alene, ID 838145689
📞 2087659100fax 2087659103
Mailing address
3320 N Grand Mill Ln
Coeur D Alene, ID 838145689
📞 2087659100fax 2087659103

Specialties

  • Nurse Practitioner Primary
    (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...
    ID license #NP1098A taxonomy 363L00000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Coeur D Alene in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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