Individual provider Active NPI

Maria Eugenia Moran, APRN

  • Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1114408135
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9389386 Issued in FL
Practice address
1414 SE 3Rd Ave
Fort Lauderdale, FL 33316-1910
Phone
(954) 803-9002
Fax
(954) 933-2305
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9389386 FL
Nurse Practitioner 363L00000X 9389386 FL Primary

Addresses

Primary practice location

1414 SE 3Rd Ave
Fort Lauderdale, FL 33316-1910

Mailing address

5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Phone (954) 803-9002

Other practice location 1

5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Phone (954) 803-9002

Other practice location 2

8395 W Oakland Park Blvd Ste E-F
Sunrise, FL 33351-7301
Phone (954) 803-9002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20211029001544 FL Practitioner - Nurse Practitioner 9436547130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neurology Institute, LLCGroup PAC ID 8123393881, 25 clinicians

Practice addresses (Care Compare)

1414 SE 3Rd Ave
Fort Lauderdale, FL 33316-1910
Phone (954) 803-9002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9389386FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Pointe of Florida PLC CurrentSince Apr 15, 2024 Accepting new patients
Mental Medic, LLC. CurrentSince Oct 1, 2024 Accepting new patients
The Neurology Institute, LLC Nurse Practitioner CurrentSince Aug 5, 2024 Accepting new patients

Locations

5441 N University Dr
Ste 101
Coral Springs, FL 33067
Phone (954) 739-2221

4474 Weston Rd
Davie, FL 33331
Phone (754) 333-1765

1414 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 764-8033

6000 Turkey Lake Rd
Ste 112
Orlando, FL 32819
Phone (407) 270-7702

8395 W Oakland Park Blvd
Ste Ef
Sunrise, FL 33351
Phone (954) 803-9002

1725 Main St
Ste 219
Weston, FL 33326
Phone (954) 380-5303

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22170/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DECFCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1114408135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674640",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 SE 3RD AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161910",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5441 N University Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330674640",
            "country_code": "US",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8395 W Oakland Park Blvd Ste E-F",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333517301",
            "country_code": "US",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MARIA",
        "middle_name": "EUGENIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9389386",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9389386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.