Raven Orgeron Moore, MSN, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

234256 Issued in LA

Practice address

1333 Ridge Way Dr
Mandeville, LA 70471-7461

Phone

(225) 328-1665

NPI assigned

Aug 14, 2023

Last updated

Jan 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1073296257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 RIDGE WAY DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717461",
            "telephone_number": "225-328-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 RIDGE WAY DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717461",
            "telephone_number": "225-328-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RAVEN",
        "middle_name": "ORGERON",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN110443",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "234256",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "LA",
            "license": "RN110443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia J Monteleone,MSW-LCSW, MSW-LCSW
• Stephen Montelepre, M.S., NCC, LPC
• Chloe S Montgomery
• Andrew Montz, M.D.
• Marissa Moore, MD
• Sarah B Moran, LCSW, LMFT
• Ashley Diann Morehead
• Michael Louis Morgan Sr.
• Angil Patricia Morris
• Mosaic Chiropractic

• Family Nurse Practitioner in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.