Individual provider Active NPI

Henry Moran, ARNP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1023500204
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9277744 Issued in FL
Practice address
4711 SW 143Rd CT
Miami, FL 33175-6894
Phone
(305) 345-2080
Fax
(305) 200-0161
NPI assigned
Jun 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9277744 FL Primary

Addresses

Primary practice location

4711 SW 143Rd CT
Miami, FL 33175-6894

Mailing address

4711 SW 143Rd CT
Miami, FL 33175-6894
Phone (305) 345-2080

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251124002176 FL Practitioner - Nurse Practitioner 4789183963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12277 SW 130 St
Miami, FL 33186

4711 SW 143Rd CT
Miami, FL 33175-6894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9277744FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carewell Med LLC CurrentSince Aug 23, 2025 Accepting new patients

Locations

2100 E Hallandale Beach Blvd
Ste 101B
Hallandale Beach, FL 33009
Phone (305) 345-2080

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1023500204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 SW 143RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756894",
            "telephone_number": "305-345-2080",
            "fax_number": "305-200-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 SW 143RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756894",
            "telephone_number": "305-345-2080",
            "fax_number": "305-200-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "HENRY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9277744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.