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

Simona Lydia Moore, CNP

Individual provider Family Nurse Practitioner · NPI 1679502181

Simona Lydia Moore, CNP is a Nurse Practitioner in Mount Vernon, Ohio. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

206 S Mulberry St Ste A
Mount Vernon, OH 43050-3331
Phone: (330) 473-2569
Fax: (740) 326-1175
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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 NP4502 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN.232279-COA1 (OH)

Record details

NPI number1679502181
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedJune 30, 2006
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Vernon