Active NPI
Lindsay Margaret Moran, NP-C
- Nurse Practitioner
- Encinitas, CA
National Provider Identifier
1073943551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95083773
- Practice address
- 477 N El Camino Real
Ste. D200
Encinitas, CA 92024-1328 - Phone
- (760) 747-8935
- Fax
- (760) 452-3344
- NPI assigned
- Nov 19, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95083773 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | 111603 | NE |
Addresses
Primary practice location
477 N El Camino Real
Ste. D200
Encinitas, CA 92024-1328
Mailing address
7675 Dagget St Ste 370
San Diego, CA 92111-2260
Phone (858) 309-6585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95083773 | Other | CA | MEDICAL LICENSE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5375 | AZ | MD | Obstetrics & Gynecology Physician |
| 111603 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| SWDC Walk-in Clinic | Past | Accepting new patients | |
| Yuma Regional Medical Center | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
Interoperability endpoints
- lmoran37136@scrippshlth.medalliesdirect.net
Organizations & group practices 3
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.
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Internal Medicine Physician
- Yuma, AZ
- NPI 1568749430
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1073943551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7675 DAGGET ST STE 370",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921112260",
"telephone_number": "858-309-6585",
"fax_number": "858-309-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 N EL CAMINO REAL",
"address_2": "STE. D200",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241328",
"telephone_number": "760-747-8935",
"fax_number": "760-452-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "LINDSAY",
"middle_name": "MARGARET",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95083773",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "111603",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "95083773",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.