Debbie Lynn Moulavi, NP C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1498402 Issued in FL

Practice address

2284 Red Ember Rd
Oviedo, FL 32765-9763

Phone

(407) 359-6426

Fax

(407) 359-6426

NPI assigned

Aug 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Debra L Moulavi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Comprehensive Rehab Center Inc

  • Physical Therapist
  • Winter Park, FL
  • NPI 1154517035
  NPD (past)
• Lymphedema Clinic of Orlando, Inc

  • General Practice Physician
  • Longwood, FL
  • NPI 1558655647
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1073505459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 RED EMBER RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659763",
            "telephone_number": "407-359-6426",
            "fax_number": "407-359-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 RED EMBER RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659763",
            "telephone_number": "407-359-6426",
            "fax_number": "407-359-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULAVI",
        "first_name": "DEBBIE",
        "middle_name": "LYNN",
        "credential": "NP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1498402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302942500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Y8233Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S FL",
            "identifier": "Y8233",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Y8233Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1073505459",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "MOULAVI",
            "middle_name": "L",
            "credential": "NP C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristen Marie Morrison, M.A., CF-SLP
• Hossam Mosa
• David Paul Mosch, D.O.
• Moskowitz Dermatology M.D., P.L.L.C
• Jeffrey Glenn Moskowitz, MD
• Karen Lynne Mounger, ARNP
• Traci Moyer
• Krysta Mullins
• Lourdes Vanessa Muniz, LCSW, MSW
• Kristie Marie Munro, MS, CCC-SLP

• Family Nurse Practitioner in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.