AMY MOORE RN CDE
NPI 1073829750
Registered Nurse - Diabetes Educator in Fridley, MN

Active since August 19, 2010
6401 UNIVERSITY AVE NE, SUITE 100, FRIDLEY, MN 55432(763) 502-4877 Get Directions Write a Review

NPPES record last updated: August 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Moore Rn Cde NPPES

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

AMY MOORE RN CDE (NPI 1073829750) is an individual diabetes educator provider in Fridley, Minnesota, licensed in Minnesota (R 956714) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1073829750
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameAMY MOORECredential: RN CDE
Location Address6401 UNIVERSITY AVE NE, SUITE 100Fridley, MN 55432-4341
Mailing Address3128 Chippewa RdMinnetonka, MN 55305-4504 · (952) 649-0955
Sole ProprietorNo
Enumeration DateAugust 19, 2010
NPI 1073829750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License Licensed in MN · R 956714
6401 UNIVERSITY AVE NE, Fridley, MN 55432

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432
Nurse Practitioner (Family)
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Otolaryngology
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Internal Medicine (Cardiovascular Disease)
6401 UNIVERSITY AVE NE, SECOND FLOOR
FRIDLEY, MN 55432
Clinical Nurse Specialist (Psychiatric/Mental Health)
6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432
Psychologist (Clinical)
6401 UNIVERSITY AVE NE, BHSI LLC SUITE 304
FRIDLEY, MN 55432
Otolaryngology
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Registered Nurse (Diabetes Educator)
6401 UNIVERSITY AVE NE, #200
FRIDLEY, MN 55432

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 Amy Moore's NPI number?

The NPI number for Amy Moore is 1073829750. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Where is Amy Moore located?

Amy Moore practices at 6401 University Ave NE Suite 100, Fridley, MN 55432. The listed phone number is (763) 502-4877.

What is Amy Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Amy Moore was last updated on August 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.