P Praxis·MD
● Active Type 1 · Individual

Whitney Lee Moore, DNP, PMHNP

Nurse Practitioner·Ammon, ID· NPI 1770150484 · Enumerated 2021 · 4 years on NPI
Moore is 1 of 14 nurse practitioner providers in Ammon and 1 of 374 in Idaho.
NPI age
4 years
Enumerated 2021-06-10
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-10-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
4 years
≈ at median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 34% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-06Enumerated in NPPES
2021 2026

Where they practice

Practice location
1675 Curlew Dr
Ammon, ID 834064850
📞 2085235319fax 2085235627
Mailing address
Po Box 2106
Idaho Falls, ID 834032106

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #ID-58820 taxonomy 363LP0808X
  • Registered Nurse
    Definition to come...
    ID license #ID-58820 taxonomy 163WP0809X

Practice context

Part of a multi-provider practice. 95 other active providers share this practice address in NPPES.

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