Debra Moffitt, L.M.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00017864 Issued in WA

Practice address

728 W Railroad Ave
Shelton, WA 98584-3808

Phone

(360) 432-0416

Fax

(360) 427-3168

NPI assigned

Jul 6, 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

State licenses

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407054877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 W SHELTON VALLEY RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848756",
            "telephone_number": "360-432-0416",
            "fax_number": "360-427-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 W RAILROAD AVE",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843808",
            "telephone_number": "360-432-0416",
            "fax_number": "360-427-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "DEBRA",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00017864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Millard, PHARMD
• Anisa L Miller, MA, CDP
• Cheryl Miller, RPH
• Alex Mills
• Akashia Milsap
• Matthew Todd Moody, DO
• Donald E Moon, MA LMHCA
• Duane Stephen Moore, DENTIST
• Naomi Elizabeth Mork, OTR/L
• Mark Alexander Morris, MSW, LSWAIC

• Specialist in Shelton, WA
• Providers in Shelton, WA by specialty
• Specialist in Washington

• 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.