Nelly A Morales, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0004172 Issued in MD

Practice address

945 W Michigan Ave
Suite 10C
Pensacola, FL 32505-2345

Phone

(850) 332-6788

Fax

(888) 660-1953

NPI assigned

Jun 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Physician Assistant

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.

• Tri County Community Health Council Inc

  • Federally Qualified Health Center (FQHC)
  • Four Oaks, NC
  • NPI 1427087709
  Medicare reassignment
• Tri County Community Health Council Inc

  • Adult Mental Health Clinic/Center
  • Dunn, NC
  • NPI 1790270999
  NPD

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1073833463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W MICHIGAN AVE",
            "address_2": "SUITE 10C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052345",
            "telephone_number": "850-332-6788",
            "fax_number": "888-660-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W MICHIGAN AVE",
            "address_2": "SUITE 10C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052345",
            "telephone_number": "850-332-6788",
            "fax_number": "888-660-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "NELLY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004172",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destany Moorer, RBT
• Shundria Moorer
• David Moorhead, DPT
• Mohammad Munir Moqueet
• Juliana Moraes, BCBA
• Nicole Noelle Morales, RBT
• Alexandra Moran, IBCLC
• Jason Thomas Morarend, D.C.
• Roger Erwin Moraski, MD
• Bryce More, D.O

• Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.