NPI age
12 years
Enumerated 2013-08-31
● Active
Type 1 · Individual
Illaria C Moore, NP-C
Moore is 1 of 24 nurse practitioner providers in Boise and 1 of 56 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-08-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 56 active nurse practitioner providers in Idaho.
NPI age
12 years
≈ at median (13 yr)
State licenses
1 state
35% of peers hold multiple states
Subspecialties
0
66% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-08Enumerated in NPPES
2013
2026
Where they practice
Practice location
11050 Montana Ave
Boise, ID 837135049
Mailing address
11050 Montana Ave
Boise, ID 837135049
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | AG0613029 | NURSE PRACTITIONER CERTIFICATION |
| 01 (ID) | NP-1326A | LICENSE NUMBER |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
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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.