Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MS. ELIZABETH J MOORE
Active
Individual
MS. ELIZABETH J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
28087121A
IN
2084P0800X
Psychiatry Physician
71005185A
IN
2084P0800X
Psychiatry Physician
71005185B
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71005185A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000899248
ANTHEM
IN
05
—
201258280
—
IN
Enumeration date
09/11/2009
Last updated
04/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up