Carmen Moreno, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11010028 Issued in FL

Practice address

336 Golfview Rd Apt 909
North Palm Beach, FL 33408-3512

Phone

(561) 360-0955

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467
  Medicare reassignment NPD
• Tenet Florida Physician Services, LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1699111211
  NPD
• Pediatric Care Center No2 Inc

  • Pediatrics Physician
  • Palm Springs, FL
  • NPI 1386994952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1003417072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 GOLFVIEW RD APT 909",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083512",
            "telephone_number": "561-360-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 GOLFVIEW RD APT 909",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083512",
            "telephone_number": "561-360-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "CARMEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11010028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott A Moffitt, M.D.
• Reisha Montecinos
• Alexandra Marie Mooney, PA-C
• Brittany Elle Moore
• Carol L Moore, LCSW
• Kahlil Vadre Moses, D.C.
• Darrin Moshe, MS, CCC-SLP
• Elizabeth Motta, MSED, LMHC
• Amber Brooke Nagele, CCC-SLP
• Susan G Naversen, AP

• Pediatric Nurse Practitioner in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.