Individual provider Active NPI

Moriah Macdonald, FNP

  • Family Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1487206504
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025125 Issued in OH
Practice address
1616 Grant St
Portsmouth, OH 45662-3663
Phone
(740) 901-0416
NPI assigned
Jul 9, 2019
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.025125 OH Primary
Registered Nurse 163W00000X RN.415840 OH

Addresses

Primary practice location

1616 Grant St
Portsmouth, OH 45662-3663

Mailing address

1616 Grant St
Portsmouth, OH 45662-3663
Phone (740) 901-0416

Other names 1

  • Moriah Carver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307002581 OH Practitioner - Nurse Practitioner 1951766484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Cardinal Treatment Centers IncGroup PAC ID 3375974421, 5 clinicians

Practice addresses (Care Compare)

4304 Old Scioto TRL
Portsmouth, OH 45662-6672
Phone (740) 351-9298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.415840OHMDRegistered Nurse
APRN.CNP.025125OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Treatment Centers Piketon, LLC CurrentSince Nov 20, 2023 Accepting new patients

Locations

96 Linwood Plz
Fort Lee, NJ 07024
Phone (201) 681-5066

2266 Wakefield Mound Rd
Piketon, OH 45661
Phone (516) 343-2772

Organizations & group practices 2

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1487206504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 GRANT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623663",
            "telephone_number": "740-901-0416",
            "fax_number": "740-901-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 GRANT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623663",
            "telephone_number": "740-901-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "MORIAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025125",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.415840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORIAH",
            "last_name": "CARVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.