Active NPI
Beth M Moran, ARNP
- Women's Health Clinical Nurse Specialist
- East Hampton, NY
National Provider Identifier
1174609606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Clinical Nurse Specialist
- License
- 3228682
- Practice address
- 11 Atlantic St
East Hampton, NY 11937-3820 - Phone
- (941) 925-7872
- Fax
- (631) 919-1677
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Clinical Nurse Specialist | 364SW0102X | 3228682 | FL | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | F420030 | NY |
Addresses
Primary practice location
11 Atlantic St
East Hampton, NY 11937-3820
Mailing address
3204 Tanglewood Dr
Sarasota, FL 34239-6513
Phone (941) 925-7872
Other names 1
- Ms. Beth M Moran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 3, 2026 through Apr 3, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3204 Tanglewood Dr
Sarasota, FL 34239-6513
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F420030 | NY | MD | Women's Health Nurse Practitioner |
| 3228682 | FL | MD | Women's Health Clinical Nurse Specialist |
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1174609606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 TANGLEWOOD DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342396513",
"telephone_number": "941-925-7872",
"fax_number": "631-919-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ATLANTIC ST",
"city": "EAST HAMPTON",
"state": "NY",
"postal_code": "119373820",
"telephone_number": "941-925-7872",
"fax_number": "631-919-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "BETH",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "364SW0102X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Women's Health",
"state": "FL",
"license": "3228682",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F420030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "MORAN",
"middle_name": "M",
"prefix": "MS.",
"credential": "ARNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in East Hampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.