MELANIE RENEE MOORE
NPI 1063360758
Counselor - Professional in Pocatello, ID

Active since March 18, 2026
396 YELLOWSTONE AVE, POCATELLO, ID 83201(385) 985-6354 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melanie Renee Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANIE RENEE MOORE (NPI 1063360758) is an individual professional provider in Pocatello, Idaho, licensed in Idaho (4671296) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1063360758
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMELANIE RENEE MOORE
Location Address396 YELLOWSTONE AVEPocatello, ID 83201-4572
Mailing Address561 Raven WayChubbuck, ID 83202-1971 · (385) 985-6354
Sole ProprietorNo
Enumeration DateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
NPI 1063360758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in ID · 4671296
396 YELLOWSTONE AVE, Pocatello, ID 83201

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
396 YELLOWSTONE AVE
POCATELLO, ID 83201
Social Worker
396 YELLOWSTONE AVE
POCATELLO, ID 83201
Nurse Practitioner (Family)
396 YELLOWSTONE AVE
POCATELLO, ID 83201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Moore's NPI number?

The NPI number for Melanie Moore is 1063360758. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Where is Melanie Moore located?

Melanie Moore practices at 396 Yellowstone Ave, Pocatello, ID 83201. The listed phone number is (385) 985-6354.

What is Melanie Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Melanie Moore was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.