Active NPI
Alexandra V Moran
- Prevention Professional
- Middle River, MD
National Provider Identifier
1194503185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- NA
- Practice address
- 620 Carrollwood Rd Apt E
Middle River, MD 21220-3137 - Phone
- (786) 602-4415
- NPI assigned
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | NA | MD | Primary |
Addresses
Primary practice location
620 Carrollwood Rd Apt E
Middle River, MD 21220-3137
Mailing address
620 Carrollwood Rd Apt E
Middle River, MD 21220-3137
Phone (786) 602-4415
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1194503185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 CARROLLWOOD RD APT E",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212203137",
"telephone_number": "786-602-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CARROLLWOOD RD APT E",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212203137",
"telephone_number": "786-602-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "ALEXANDRA",
"middle_name": "V",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "MD",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middle River, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.