Individual provider Active NPI

Kayla Lynn Moretz, NP

  • Primary Care Nurse Practitioner
  • Cherokee, IA
National Provider Identifier
1174128342
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
H156800 Issued in IA
Practice address
1251 W Cedar Loop
Cherokee, IA 51012-1566
Phone
(712) 225-2594
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
H156800IAMDPrimary Care Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X H156800 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1251 W Cedar Loop
Cherokee, IA 51012-1566

Mailing address

2426 Kenway Dr
Des Moines, IA 50310-3423
Phone (515) 518-7477

Other names 1

NPPES NPI Registry
  • Kayla Lynn Nagel Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2020.

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1174128342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 KENWAY DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103423",
            "telephone_number": "515-518-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 W CEDAR LOOP",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121566",
            "telephone_number": "712-225-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETZ",
        "first_name": "KAYLA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "H156800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "NAGEL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherokee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.