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

Shannon Lee Moore, ARNP

Individual provider Nurse Practitioner · NPI 1417395385

Shannon Lee Moore, ARNP is a Certified Nurse Midwife (CNM) in Puyallup, Washington. Qualified in 2018, 8 years ago. Practices with Franciscan Medical Group, a 1,417-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2013
Specialties on file
3
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

11102 Sunrise Blvd E Ste #110
Puyallup, WA 98374-8846
Phone: (253) 697-7350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence AP60386228 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60386228 (WA)
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X · Licence AP60386228 (WA)

Record details

NPI number1417395385
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJune 12, 2013
Last updated in NPPESJune 12, 2013
Mailing address11102 Sunrise Blvd E, Ste #110, Puyallup, WA 98374-8846

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Franciscan Medical Group — 1417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup