Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Melody Lynn Moore, PA-C, LCSW
Physician Assistant in Olympia, WA · enumerated 2010.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1790093730
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Registry record
Entity type Individual (Type 1)
Name Melody Lynn Moore
Credential PA-C, LCSW
Sex Female
Practice address 3624 Ensign Rd Ne Ste F, Olympia, WA, 98506
Phone (360) 634-8949
Fax (360) 634-8234
Enumeration date Sep 23, 2010
Last updated in NPPES Nov 18, 2025
Taxonomy & licenses
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C006993 (NC) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0010-13458 (NC) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 61505595 (WA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 61505595 (WA) Primary
LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy.
About the LCSW credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Melody Moore's NPI record?
Cross-check NPI 1790093730 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1790093730 active?
Yes, as of the latest NPPES snapshot, NPI 1790093730 is active (record last updated 2025-11-18).
Other providers at this practice address
Browse all → Shana Charles Family Nurse Practitioner · Olympia, WA NPI 1437179546 Jonathan Clemens Physician Assistant · Olympia, WA NPI 1972865582 Ergocare Clinic Pllc Occupational Medicine Clinic/Center · Olympia, WA NPI 1427621655 Intertwined Wellness Care Primary Care Clinic/Center · Olympia, WA NPI 1801609292
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-18.