Individual provider Active NPI

Lourdes Alvarez-Moreno, RN

  • Family Nurse Practitioner
  • Burlington, VT
National Provider Identifier
1174413892
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95041159 Issued in CA
Practice address
128 Lakeside Ave Ste 260
Burlington, VT 05401-5911
Phone
(802) 657-7000
Fax
(802) 657-7000
NPI assigned
Jul 4, 2025
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95041159 CA Primary

Addresses

Primary practice location

128 Lakeside Ave Ste 260
Burlington, VT 05401-5911

Mailing address

128 Lakeside Ave Ste 260
Burlington, VT 05401-5911
Phone (802) 657-7000

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
RN2390205MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1174413892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LAKESIDE AVE STE 260",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015911",
            "telephone_number": "802-657-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LAKESIDE AVE STE 260",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015911",
            "telephone_number": "802-657-7000",
            "fax_number": "802-657-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ-MORENO",
        "first_name": "LOURDES",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95041159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.