Nicole Marie Moore is a Physician Assistant practicing in Mesa, Arizona. The National Provider Identifier (NPI) is #1205769452, which was assigned on June 6, 2026, and the registration record was last updated on June 6, 2026. The practitioner's main practice location is at 5850 E Still Cir, Mesa, AZ 85206-3618; the contact telephone number is 6236404933. The primary taxonomy of Nicole Marie Moore is Physician Assistant (363A00000X).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1205769452 |
| Entity Type | Individual |
| Provider Name | NICOLE MARIE MOORE |
| Gender | Female |
| Practice Address |
5850 E Still Cir Mesa AZ 85206-3618 |
| Practice Telephone | 6236404933 |
| Mailing Address |
5850 E Still Cir Mesa AZ 85206-3618 |
| Certification Date | 2026-06-06 |
| Enumeration Date | 2026-06-06 |
| Last Update Date | 2026-06-06 |
| Is Sole Proprietor | Y |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Casey Lynn Treon | 34 Angela St, Canton, MA 02021-2250 | Physician Assistant | 2026-06-06 |
| Dalton Garrett Walker | 6901 Bagby Ave Apt 2704, Woodway, TX 76712-1213 | Physician Assistant | 2026-06-06 |
| Kayla Nicole Commings | 16 Stacy Dr, New Middletown, OH 44442-9705 | Physician Assistant | 2026-06-06 |
| Kyla Morgan Brossoit | 2301 Erwin Rd, Durham, NC 27705-4699 | Physician Assistant | 2026-06-06 |
| Butte Independent Walk-In Clinic PLLC | 3310 Monroe Ave, Butte, MT 59701-3820 | Physician Assistant | 2026-06-06 |
| Makeda Alexander | 445 Lenox Rd, Brooklyn, NY 11203-2017 | Physician Assistant | 2026-06-06 |
| Jacob Somoza | 565 Turnpike St Ste 85, North Andover, MA 01845-5936 | Physician Assistant | 2026-06-06 |
| Shannon Wyngard | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-06 |
| Sloan Nicole Mann | 21 County Road 1701, Cullman, AL 35058-7633 | Physician Assistant | 2026-06-06 |
| Charles Powell Venable III | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
5850 E STILL CIR |
| City | MESA |
| State | AZ |
| Zip Code | 85206-3618 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ayodele Sunday Amodu | 5850 E Still Cir, Mesa, AZ 85206-3618 | Student in an Organized Health Care Education/Training Program | 2026-06-05 |
| Matthew Baragar | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-04 |
| Andrew Johnson | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-05 |
| Shannon Wyngard | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-06 |
| Bhavya H Parekh | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-04 |
| Connor Matzke | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-06 |
| Hannah Olson | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-04 |
| Teghan Coyle | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-04 |
| Brandy Mendez | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-04 |
| Gabriel Saltzman | 5850 E Still Cir, Mesa, AZ 85206-3618 | Physician Assistant | 2026-06-05 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Thomas John Kantaras | 5835 E Still Cir, Mesa, AZ 85206-3618 | Student in an Organized Health Care Education/Training Program | 2026-03-14 |
| Cameron Birch | 5835 E Still Cir, Mesa, AZ 85206-3618 | Dentist | 2024-06-18 |
| Jennifer Anahi Gutierrez | 5835 E Still Cir, Mesa, AZ 85206-3618 | Student in an Organized Health Care Education/Training Program | 2025-05-07 |
| Jonathan Abrams | 5835 E Still Cir, Mesa, AZ 85206-3618 | Student in an Organized Health Care Education/Training Program | 2023-05-16 |
| Michael Lant Pace | 5835 E Still Cir, Mesa, AZ 85206-3618 | Student in an Organized Health Care Education/Training Program | 2024-05-07 |
| Mia Harle | 5835 E Still Cir, Mesa, AZ 85206-3618 | Student in an Organized Health Care Education/Training Program | 2026-03-03 |
| Henry Morgan | 5835 E Still Cir, Mesa, AZ 85206-3618 | Student in an Organized Health Care Education/Training Program | 2026-03-26 |
| Maria Gindy | 5835 E Still Cir, Mesa, AZ 85206-3618 | Student in an Organized Health Care Education/Training Program | 2025-07-02 |
| Fadi Qaqish | 5835 E Still Cir, Mesa, AZ 85206-3618 | Student in an Organized Health Care Education/Training Program | 2024-05-20 |
| Gabriela Garzon | 5835 E Still Cir, Mesa, AZ 85206-3618 | Student in an Organized Health Care Education/Training Program | 2024-05-25 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Stand Tall Healing Center | 3707 E. Southern Avenue Suite 2003, Mesa, AZ 85206 | Addiction (Substance Use Disorder) Counselor | 2023-05-08 |
| Alyssa Britland | 5114 E Southern Avenue, Suite 131, Mesa, AZ 85206 | Massage Therapist | 2024-08-07 |
| Goal Az LLC | 1423 South Higley Road #125, Mesa, AZ 85206 | Orthotist | 2023-12-27 |
| Tori A Shaw | 810 S. Power Rd, Suite 101, Mesa, AZ 85206 | Nurse Practitioner | 2024-10-29 |
| Robyn Kathleen Hall Galbraith | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | Psychologist | 2018-08-23 |
| Ubuntu Caring Hands, LLC | 3707 East Southern Ave., Suite 100, Mesa, AZ 85206 | Home Health Agency | 2023-09-07 |
| Shelby Gillespie | 4510 E Banner Gateway Dr Apt. 3076, Mesa, AZ 85206 | Chiropractor | 2023-06-26 |
| Eric Sam Harris | 4250 E. Florian Ave, Building 1 and 2, Mesa, AZ 85206 | Behavioral Analyst | 2019-11-04 |
| Arizona Neuromonitoring, LLC | 6116 E Arbor Ave Building 2 Suite 108, Mesa, AZ 85206 | Electrodiagnostic Medicine Physician | 2020-05-13 |
| Vhs of Phoenix Inc | 5750 E. Baseline Rd., Mesa, AZ 85206 | General Acute Care Hospital | 2019-04-24 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Athena Marie Moore | 401 Se Sunset Ave, Cascade Locks, OR 97014-5011 | Other Specialist/Technologist | 2026-01-16 |
| Savannah Nicole Moore | 1001 Blythe Blvd Ste 200, Charlotte, NC 28203-5865 | Genetic Counselor (M.S.) | 2026-04-10 |
| Nicole Louise Moore | 570 W Cheyenne Ave Ste 10, N Las Vegas, NV 89030-3931 | Social Worker | 2026-06-05 |
| Stefanie Marie Puello-Moore | 734 10th Ave, San Diego, CA 92101-6502 | Clinical Social Worker | 2026-05-05 |
| Kaylin Marie Moore | 600 N Loop 1604 E, San Antonio, TX 78232-1268 | Behavior Technician | 2026-05-22 |
| Nyeasha Nicole Moore | 12021 Wilmington Ave Bldg 18, Los Angeles, CA 90059-3019 | Licensed Vocational Nurse | 2026-03-30 |
| Prima Marie Moore | 1216 S Glendora Ave, West Covina, CA 91790-4924 | Speech-Language Pathologist | 2026-05-19 |
| Nicole Michelle Moore | 3592 S Atherton Blvd Ste 101, Gilbert, AZ 85297-7444 | Behavioral Analyst | 2026-03-04 |
| Nicole Goodwin · Nicole Moore | Zum Spitzberg 20, Parsberg, Bavaria 92331, DE | Dental Hygienist | 2021-04-23 |
| Jennifer Moore Vice-Reshel · Jennifer Nicole Moore | 1250 N 113th Street, Suite 200, Wawatosa, WI 53226-3209 | Psychologist | 2024-11-04 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |