Katelyn Laskey Moldaner

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09203 Issued in LA

Practice address

4105 Harvard Ave
Metairie, LA 70006-2611

Phone

(000) 111-2222

NPI assigned

Oct 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• PMR la Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1700333689
  NPD

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1194276402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 HARVARD AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 HARVARD AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062611",
            "telephone_number": "000-111-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDANER",
        "first_name": "KATELYN",
        "middle_name": "LASKEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Mahmood Mohammad, PHARM-D
• Sanna Mohammad, MD
• Samira Mohammed
• Ahmed Ghouse Mohiuddin, M.D.
• Ala Mousa Mohsen, M.D
• Sharon Southard Mole, LPC LMFT
• Tori Molison Molison
• Holly Soignier Mollere, PMHNP
• Stephanie Mollere, M.A., L-SLP, CCC-SLP
• Moments Often Matter LLC

• Family Nurse Practitioner in Metairie, LA
• Providers in Metairie, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.