Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lydia Moore

Individual provider Family Nurse Practitioner · NPI 1982059317

Lydia Moore is a Nurse Practitioner in Lebanon, Tennessee. Qualified in 2015, 11 years ago. Practices with Saint Thomas Medical Partners, a 584-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2016
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Practice location Address checks out

100 Physicians Way Ste 300
Lebanon, TN 37090-8102
Phone: (615) 449-6868
Fax: (615) 449-7184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN0000020896 (TN)

Record details

NPI number1982059317
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESMay 4, 2016
Mailing address1414 Riverbrook Dr, Hermitage, TN 37076-3574

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Saint Thomas Medical Partners — 584 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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