Marguerite Mary Moffatt, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN046224 AP04314 Issued in LA

Practice address

12875 Scenic Hwy
Baton Rouge, LA 70807-1007

Phone

(225) 977-9245

Fax

(225) 977-9024

NPI assigned

May 27, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1083872006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53006",
            "address_2": "12875 N. SCENIC HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708923006",
            "telephone_number": "225-977-9245",
            "fax_number": "225-977-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12875 SCENIC HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708071007",
            "telephone_number": "225-977-9245",
            "fax_number": "225-977-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "MARGUERITE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "RN046224 AP04314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Tech Medical Inc.
• Chandrill Mobley, MPH
• Sarah Mobley
• Walnita Mobley
• Jamileh Moezivaziri
• Abigail Marie Moffett
• Latasha Moffitt
• Shafi Ghousemohideen Mohamed, M.D.
• Said M Mohammad, APRN
• Victoria Pittman Mohammad, MS, CCC-SLP

• Adult Health Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.