Active NPI
Laura Ann Moyer, CRNP
- Family Nurse Practitioner
- Rehrersburg, PA
National Provider Identifier
1467097253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP021134
- Practice address
- 33 Teen Challenge Rd
Rehrersburg, PA 19550-5000 - Phone
- (717) 933-4181
- NPI assigned
- Nov 15, 2019
- 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 | SP021134 | PA | Primary |
Addresses
Primary practice location
33 Teen Challenge Rd
Rehrersburg, PA 19550-5000
Mailing address
2180 Quarry Rd
Lebanon, PA 17046-9345
Phone (717) 269-7563
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP021134 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1467097253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 QUARRY RD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170469345",
"telephone_number": "717-269-7563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 TEEN CHALLENGE RD",
"city": "REHRERSBURG",
"state": "PA",
"postal_code": "195505000",
"telephone_number": "717-933-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP021134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rehrersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.