Individual provider Active NPI

Joshua Morazan, RN

  • Registered Nurse
  • Port St Lucie, FL
National Provider Identifier
1477378883
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9536502 Issued in FL
Practice address
1168 SW Hutchins St
Port St Lucie, FL 34983-2534
Phone
(772) 985-2937
Fax
(855) 606-5400
NPI assigned
Nov 20, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9536502 FL Primary

Addresses

Primary practice location

1168 SW Hutchins St
Port St Lucie, FL 34983-2534

Mailing address

1168 SW Hutchins St
Port St Lucie, FL 34983-2534
Phone (772) 985-2937

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9536502FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Morazan Ventures LLC Registered Nurse CurrentSince Jan 2, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1477378883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 SW HUTCHINS ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832534",
            "telephone_number": "772-985-2937",
            "fax_number": "855-606-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 SW HUTCHINS ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832534",
            "telephone_number": "772-985-2937",
            "fax_number": "855-606-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAZAN",
        "first_name": "JOSHUA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9536502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.