Individual provider Active NPI

Helen J Moreland, GNP

  • Nurse Practitioner
  • Bloomington, MN
National Provider Identifier
1467426403
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0583857 Issued in MN
Practice address
8101 34TH Ave S
Mc26602G
Bloomington, MN 55425-1692
Phone
(952) 883-6805
Fax
(952) 883-6117
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0583857 MN Primary

Addresses

Primary practice location

8101 34TH Ave S
Mc26602G
Bloomington, MN 55425-1692

Mailing address

8101 34TH Ave S
Mc26602G
Bloomington, MN 55425-1692
Phone (952) 883-6805

Other identifiers 1

IdentifierTypeStateIssuer
872843700MedicaidMN

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0583857MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regions Hospital Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1467426403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 34TH AVE S",
            "address_2": "MC26602G",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251692",
            "telephone_number": "952-883-6805",
            "fax_number": "952-883-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 34TH AVE S",
            "address_2": "MC26602G",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251692",
            "telephone_number": "952-883-6805",
            "fax_number": "952-883-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "HELEN",
        "middle_name": "J",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "0583857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "872843700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.