Active NPI
Nancie Moran, NP
- Family Nurse Practitioner
- Springfield, MA
National Provider Identifier
1427435262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN246368
- Practice address
- 125 Liberty St
Suite 403
Springfield, MA 01103-1114 - Phone
- (413) 733-9955
- Fax
- (413) 733-1199
- NPI assigned
- Apr 30, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN246368 | MA | Primary |
Addresses
Primary practice location
125 Liberty St
Suite 403
Springfield, MA 01103-1114
Mailing address
125 Liberty St
Suite 403
Springfield, MA 01103-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150626000651 | MA | Order and Referring Only - Nurse Practitioner | 5496067886 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1427435262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 LIBERTY ST",
"address_2": "SUITE 403",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 LIBERTY ST",
"address_2": "SUITE 403",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031114",
"telephone_number": "413-733-9955",
"fax_number": "413-733-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "NANCIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN246368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.