TESSA ELIZABETH MOORE MD NPI 1003565177

NPI Information

  • NPI: 1003565177
  • Provider Name: TESSA ELIZABETH MOORE, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 W SOUTH AVE
    CHEWELAH, WA
    ZIP 99109
  • Phone: (509) 935-8111

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NPI Details

Tessa Elizabeth Moore, MD is a family medicine in Chewelah, WA with 4 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Tessa Elizabeth Moore, MD NPI is 1003565177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

100 W SOUTH AVE
CHEWELAH, WA
ZIP 99109-684
Phone: (509) 935-8111
Fax: (509) 935-0970

The NPI 1003565177 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2022 and was last updated on 8/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD61583267WASHINGTONYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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