Katelyn Marie Moffatt

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

176454 Issued in OH

Practice address

827 N Main St
Marion, OH 43302-1736

Phone

(740) 914-5000

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Katelyn Lee Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1235859133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021736",
            "telephone_number": "740-914-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021736",
            "telephone_number": "740-914-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E Center St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433024142",
            "country_code": "US",
            "telephone_number": "740-914-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "176454",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmoffatt@d1recovery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "333 E Center St Ste 302",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433024142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "LEE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Minnig
• Erin Minter, PHARM.D.
• Misison of Sight Inc
• Lalith K Misra, DO PHD
• Catina Mitchell, LCDC III
• Kyle Patrick Moffatt
• Ali Mohammad
• Twila Sue Mollett, QMHS CMS
• Sean Patrick Monahan
• Victoria Ashley Nicole Montgomery

• Licensed Practical Nurse in Marion, OH
• Providers in Marion, OH by specialty
• Licensed Practical Nurse in Ohio

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