Active NPI
Nehama Moran, NP
- Nurse Practitioner
- Port Deposit, MD
National Provider Identifier
1386360725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R207674
- Practice address
- 20 Craigtown Rd
Port Deposit, MD 21904-1801 - Phone
- (410) 440-1400
- NPI assigned
- Oct 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R207674 | MD | Primary |
Addresses
Primary practice location
20 Craigtown Rd
Port Deposit, MD 21904-1801
Mailing address
750 Concourse Circle
Suite 103; Unit 392
Baltimore, MD 21220-2054
Phone (410) 440-1400
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R207674 | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1386360725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 CONCOURSE CIRCLE",
"address_2": "SUITE 103; UNIT 392",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212202054",
"telephone_number": "410-440-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CRAIGTOWN RD",
"city": "PORT DEPOSIT",
"state": "MD",
"postal_code": "219041801",
"telephone_number": "410-440-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "NEHAMA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R207674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Deposit, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.