P Praxis·MD
● Active Type 1 · Individual

DR. Lydia Marie Moor, CNP

Nurse Practitioner·Boise, ID· NPI 1588256846 · Enumerated 2021 · 5 years on NPI
Moor is 1 of 26 nurse practitioner providers in Boise and 1 of 60 in Idaho.
NPI age
5 years
Enumerated 2021-02-08
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, AZ
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 60 active nurse practitioner providers in Idaho.

NPI age
5 years
≈ at median (5 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-02Enumerated in NPPES
2021 2026

Where they practice

Practice location
300 E Jefferson St Ste 101
Boise, ID 837126221
📞 2083221680fax 2083221695
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2220 E 25th St
Idaho Falls, ID 834047542
📞 5203433647

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #66852AZ license #250264 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Boise 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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