DR. COLLEEN MARIE-KIESER MOORE DNP APRN NPI 1720569593

NPI Information

  • NPI: 1720569593
  • Provider Name: DR. COLLEEN MARIE-KIESER MOORE, DNP, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1520 W 3RD AVE STE 101
    SPOKANE, WA
    ZIP 99201
  • Phone: (509) 747-5615

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NPI Details

DR. Colleen Marie-kieser Moore, DNP, APRN is a psychiatric/mental health nurse practitioner in Spokane, WA with 7 years of experience. DR. Colleen Marie-kieser Moore, DNP, APRN NPI is 1720569593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1520 W 3RD AVE STE 101
SPOKANE, WA
ZIP 99201-040
Phone: (509) 747-5615

The NPI 1720569593 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 8/28/2018 and was last updated on 11/20/2025.

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
1363LA2200XNurse PractitionerAdult HealthAP60158260WASHINGTONNo
2363LP2300XNurse PractitionerPrimary CareAP60919281WASHINGTONNo
3363L00000XNurse PractitionerAP60919281WASHINGTONNo
4363LG0600XNurse PractitionerGerontologyAP60919281WASHINGTONNo
5363L00000XNurse Practitioner202208557NP-PPOREGONNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthAP60919281WASHINGTONYes

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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