Active NPI
Diana C Moran, APRN, FNP-C
- Family Nurse Practitioner
- Eagan, MN
National Provider Identifier
1184090771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704286461
- Practice address
- PO Box 211699
Eagan, MN 55121-3699 - Phone
- (866) 849-0692
- Fax
- (888) 973-8821
- NPI assigned
- Aug 18, 2015
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 31286 | SC | |
| Family Nurse Practitioner | 363LF0000X | APRN11044200 | FL | |
| Family Nurse Practitioner | 363LF0000X | APN.1001822-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 1226472 | TX | |
| Family Nurse Practitioner | 363LF0000X | 4704286461 | MI | Primary |
| Family Nurse Practitioner | 363LF0000X | 227602 | OK |
Addresses
Primary practice location
PO Box 211699
Eagan, MN 55121-3699
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
Other practice location 1
10767 E Traverse Hwy
Traverse City, MI 49684-6219
Phone (231) 947-0351
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.1001822-NP | CO | MD | Family Nurse Practitioner |
| APRN11044200 | FL | MD | Family Nurse Practitioner |
| 4704286461 | MI | MD | Family Nurse Practitioner |
| 227602 | OK | MD | Family Nurse Practitioner |
| 31286 | SC | MD | Family Nurse Practitioner |
| 1226472 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benzie-Leelanau District Health Department | Past | Accepting new patients |
Interoperability endpoints
- ms_dmoran18@landmarkhealth-direct.org
- diana.moran.1@28492.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Benzonia, MI
- NPI 1154449221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1184090771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
}
],
"practiceLocations": [
{
"address_1": "10767 E Traverse Hwy",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496846219",
"country_code": "US",
"telephone_number": "231-947-0351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN",
"first_name": "DIANA",
"middle_name": "C",
"credential": "APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "31286",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11044200",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.1001822-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1226472",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704286461",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "227602",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.