Individual provider Active NPI

Megan Christine Moyo, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Fayetteville, NC
National Provider Identifier
1154043594
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
349547 Issued in NC
Practice address
518 Beaumont Rd Ste 102
Fayetteville, NC 28304-4447
Phone
(910) 486-8705
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 349547 NC Primary

Addresses

Primary practice location

518 Beaumont Rd Ste 102
Fayetteville, NC 28304-4447

Mailing address

2344 Park Garden CT
Fayetteville, NC 28306-8675
Phone (637) 192-8893

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
349547NCMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1154043594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 PARK GARDEN CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283068675",
            "telephone_number": "637-192-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 BEAUMONT RD STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044447",
            "telephone_number": "910-486-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYO",
        "first_name": "MEGAN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "349547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.