NPI age
4 years
Enumerated 2022-05-10
● Active
Type 1 · Individual
Tyler Herchell Moore, NP
Moore is 1 of 21 nurse practitioner providers in Rexburg and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-05-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-05Enumerated in NPPES
2022
2026
Where they practice
Practice location
37 S 2nd E Ste 101
Rexburg, ID 834401906
Mailing address
37 S 2nd E
Rexburg, ID 834401906
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 72632 | STATE BOARD OF NURSING |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1280 Nurse Practitioner providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.