MS. LOLA DIANE MOORE RN, MN, PMHNP
NPI 1912143397
Nurse Practitioner - Psychiatric/Mental Health in Milwaukie, OR

NPI Status: Active since January 06, 2009

Contact Information

17714 SE ADDIE ST APT B
MILWAUKIE, OR
ZIP 97267
Phone: (503) 659-2244

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health

About LOLA MOORE

This page provides the complete NPI Profile along with additional information for Lola Moore, a provider established in Milwaukie, Oregon with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1912143397 assigned on January 2009. The practitioner's primary taxonomy code is 363LP0808X with license number 200950098NP (OR). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1912143397
Provider Name
MS. LOLA DIANE MOORE RN, MN, PMHNP
Gender
Female
Entity Type
Individual
Location Address
17714 SE ADDIE ST APT B MILWAUKIE, OR 97267
Location Phone
(503) 659-2244
Mailing Address
295 AMANDA CT OREGON CITY, OR 97045
Mailing Phone
(503) 650-4431
Is Sole Proprietor?
No
Enumeration Date
01-06-2009
Last Update Date
03-03-2014
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A nurse practitioner (NP) like Lola Moore is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
200950098NP
License State
OR

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

095000161RN (OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
123190MEDICAID (05)OR 
R155859MEDICARE PIN (08)OR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912143397
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922246318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 2 + 4 + 6 + 3 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1912143397 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912143397, enumerated in the NPI registry as an "individual" on January 06, 2009

The provider is located at 17714 Se Addie St Apt B Milwaukie, Or 97267 and the phone number is (503) 659-2244

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 06, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.