SAMANTHA MOORE PA-C
NPI 1073969101
Physician Assistant in Olympia, WA

Active since May 07, 2016
500 LILLY RD NE, OLYMPIA, WA 98506(360) 413-8250 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2016, Jul 12, 2016 (2 updates tracked since 2016).

About Samantha Moore Pa-c NPPES

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

SAMANTHA MOORE PA-C (NPI 1073969101) is an individual physician assistant in Olympia, Washington, licensed in Washington (60671181) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1073969101
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA MOORECredential: PA-C
Location Address500 LILLY RD NEOlympia, WA 98506-5195
Mailing Address500 Lilly Rd NeOlympia, WA 98506-5195
Sole ProprietorNo
Enumeration DateMay 7, 2016
Last NPPES UpdateOctober 24, 20162 updates tracked since enumeration
NPI 1073969101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · 60671181
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.
500 LILLY RD NE, Olympia, WA 98506

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.

Internal Medicine (Nephrology)
500 LILLY RD NE, SUITE 203
OLYMPIA, WA 98506
Pharmacist
500 LILLY RD NE
OLYMPIA, WA 98506
Specialist
500 LILLY RD NE, SUITE 204
OLYMPIA, WA 98506
Physician Assistant (Surgical)
500 LILLY RD NE, SUITE 100
OLYMPIA, WA 98506
Specialist
500 LILLY RD NE, SUITE 160
OLYMPIA, WA 98506
Physician Assistant
500 LILLY RD NE, SUITE 204
OLYMPIA, WA 98506
Clinic/Center (VA)
500 LILLY RD NE, STE 201 AND 204A
OLYMPIA, WA 98506
Internal Medicine (Cardiovascular Disease)
500 LILLY RD NE, STE 100
OLYMPIA, WA 98506

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 Samantha Moore's NPI number?

The NPI number for Samantha Moore is 1073969101. It was assigned to this individual provider in the NPPES registry on May 7, 2016.

Where is Samantha Moore located?

Samantha Moore practices at 500 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 413-8250.

What is Samantha Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Samantha Moore was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.