Active NPI
Jacqueline Linda Moran, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3015965
- Practice address
- 231 E Chestnut St
Louisville, KY 40202-1821 - Phone
- (502) 629-6000
- NPI assigned
- Oct 17, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3015965 | KY | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9193933 | FL |
Addresses
Primary practice location
231 E Chestnut St
Louisville, KY 40202-1821
Mailing address
PO Box 713350
Chicago, IL 60677-1392
Phone (502) 588-9490
Other practice location 1
3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 838-2588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3015965 | Other | KY | KY STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Current | Accepting new patients | |
| Norton Children's Medical Group, LLC | Current | Accepting new patients |
Locations
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
Organizations & group practices 3
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.
-
dba Norton Children's Behavioral and Mental Health
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
dba Norton Children's Autism Center
- Developmental - Behavioral Pediatrics Physician
- Louisville, KY
- NPI 1548802549
-
dba Norton Children's Radiologists
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1366727810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713350",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771392",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E CHESTNUT ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021821",
"telephone_number": "502-629-6000"
}
],
"practiceLocations": [
{
"address_1": "3501 Johnson St",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330215421",
"country_code": "US",
"telephone_number": "954-838-2588",
"fax_number": "954-514-3979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN",
"first_name": "JACQUELINE",
"middle_name": "LINDA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3015965",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9193933",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY STATE LICENSE",
"identifier": "3015965",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.