Individual provider Active NPI

Leah Renee Moreau, AGACNP, RNFA

  • Acute Care Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1477971489
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP125459 Issued in TX
Practice address
6025 Metropolitan Dr
Suite 210
Beaumont, TX 77706-2407
Phone
(409) 833-2225
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP125459 TX Primary
Registered Nurse First Assistant 163WR0006X 768819 TX

Addresses

Primary practice location

6025 Metropolitan Dr
Suite 210
Beaumont, TX 77706-2407

Mailing address

6025 Metropolitan Dr
Suite 210
Beaumont, TX 77706-2407
Phone (409) 833-2225

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

LicenseStateTypeSpecialty
768819TXMDRegistered Nurse First Assistant
AP125459TXMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lmoreau88319@directhoustonmethodist.org
  • Direct secure messaging: lmoreau676584@memorialhermann.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1477971489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DR",
            "address_2": "SUITE 210",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062407",
            "telephone_number": "409-833-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DR",
            "address_2": "SUITE 210",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062407",
            "telephone_number": "409-833-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "LEAH",
        "middle_name": "RENEE",
        "credential": "AGACNP, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP125459",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "768819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.