NPI age
19 years
Enumerated 2007-04-19
● Active
Type 1 · Individual
MS. Lisa June Moore, NURSE PRACTITIONER
Moore is 1 of 38 nurse practitioner providers in Eagle and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 27% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
Simply You Health & Medspa, 219 S. Wooddale Ave.
Eagle, ID 83616
Mailing address
163 W. Floating Feather Rd
Eagle, ID 83616
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 3 new nurse practitioner providers have been added in Eagle in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.