Shannen Moore

Individual Active
NPI 1083092977
Pediatric Nurse Practitioner Boston, MA

Shannen Moore is a pediatric nurse practitioner practicing in Boston, MA. The NPI was issued on May 11, 2015, and the record was last updated in NPPES on January 27, 2026. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 383018 (NY)
Pediatric Registered Nurse 163WP0200X 701502 (NY)
Certified Registered Nurse Anesthetist 367500000X 701502 (NY)

Practice location

8 Waterman Rd
Boston, MA 02131-2218
Phone: (857) 345-0003

Local context

Active NPPES records list 1,051 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 836 of them within 10 miles.

The same primary taxonomy is listed by 1,323 in Massachusetts and 23,965 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Shannen Moore
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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