Active NPI
Carol D. Moffett, ATP
- Other Technician
- Lexington, KY
National Provider Identifier
1346480696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 961 Beasley St
Suite 140
Lexington, KY 40509-4131 - Phone
- (859) 294-4343
- Fax
- (859) 294-0704
- NPI assigned
- Feb 26, 2009
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
961 Beasley St
Suite 140
Lexington, KY 40509-4131
Mailing address
961 Beasley St
Suite 140
Lexington, KY 40509-4131
Phone (859) 294-4343
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": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1346480696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 BEASLEY ST",
"address_2": "SUITE 140",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094131",
"telephone_number": "859-294-4343",
"fax_number": "859-294-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 BEASLEY ST",
"address_2": "SUITE 140",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094131",
"telephone_number": "859-294-4343",
"fax_number": "859-294-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFETT",
"first_name": "CAROL",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "ATP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.