Active NPI
Grace Elizabeth Moorefield, MSN, ARN, BC
- Professional Counselor
- Azusa, CA
National Provider Identifier
1023177458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- RN257013
- Practice address
- 701 East Foothill Boulevard
Azusa, CA 91702-7000 - Phone
- (626) 253-2818
- Fax
- (626) 606-0234
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | RN257013 | CA | Primary |
Addresses
Primary practice location
701 East Foothill Boulevard
Azusa, CA 91702-7000
Mailing address
P.O. Box 1494
Glendora, CA 91740-1494
Phone (626) 253-2818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN257013 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1023177458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1494",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917401494",
"telephone_number": "626-253-2818",
"fax_number": "626-606-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 EAST FOOTHILL BOULEVARD",
"city": "AZUSA",
"state": "CA",
"postal_code": "917027000",
"telephone_number": "626-253-2818",
"fax_number": "626-606-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOREFIELD",
"first_name": "GRACE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MSN, ARN, BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "RN257013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Azusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.