Cynthia A Moran, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

070350 Issued in MO

Practice address

603 E Gaines Dr
Clinton, MO 64735-3205

Phone

(660) 885-8141

Fax

(660) 885-5815

NPI assigned

Jun 8, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Nurse Practitioner

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.

• Community Memorial Hospital District

  • Family Medicine Physician
  • Appleton City, MO
  • NPI 1619117256
  Medicare reassignment NPD
• Osceola Rural Health Clinic LLC

  • Family Medicine Physician
  • Osceola, MO
  • NPI 1023317104
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1104866722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E GAINES DR",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647353205",
            "telephone_number": "660-885-8141",
            "fax_number": "660-885-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E GAINES DR",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647353205",
            "telephone_number": "660-885-8141",
            "fax_number": "660-885-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "070350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104866722",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Ranee Moline-Reyes, LCSW, LSCSW
• Mom and Pop'S Adult Care Center
• Monaco Behavioral Services, LLC
• Britnea Monaco
• Jose Moonjely Davis, MD
• Kristal Lynn Moran
• Kelly R. Morris-Duhamell, LPC
• Joseph A. Myers, M.D.
• Lyndsay Kaye Myers, PT, DPT
• N & R of Clinton LLC

• Family Nurse Practitioner in Clinton, MO
• Providers in Clinton, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.