Eileen Moffitt, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

000031173N2PNP Issued in OR

Practice address

401 3Rd St
Vamc SF Downtown Clinic
San Francisco, CA 94107-1214

Phone

(415) 551-7309

Fax

(415) 861-0323

NPI assigned

Apr 2, 2007

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)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366563264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COVENTRY CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883601",
            "telephone_number": "707-447-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 3RD ST",
            "address_2": "VAMC SF DOWNTOWN CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071214",
            "telephone_number": "415-551-7309",
            "fax_number": "415-861-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "000031173N2PNP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonja Clar Melita Moelleken, M.D.
• Aimee-Brooke Moen
• Ellen Grace Moffatt, M.D.
• Bridgid Catherine Moffett, M.A.
• Kimberly Moffett
• McKenna Mogan, MSW
• Rami S Mogannam
• Claire Mogelvang, RD
• Kathryn Lucille Moghanian, LMFT
• Samuel Moglen, LMFT 102232

• Pediatric Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.