Individual provider Active NPI

Marilyn Moaga

  • Registered Nurse
  • Lexington, KY
National Provider Identifier
1497094692
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
753250 Issued in CA
Practice address
2513 Sun Seeker CT
Lexington, KY 40503-2980
Phone
(859) 523-4442
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 753250 CA Primary
Gastroenterology Registered Nurse 163WG0100X 1124028 KY

Addresses

Primary practice location

2513 Sun Seeker CT
Lexington, KY 40503-2980

Mailing address

2513 Sun Seeker CT
Lexington, KY 40503-2980
Phone (859) 523-4442

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
753250CAMDRegistered Nurse
1124028KYMDGastroenterology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1497094692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 SUN SEEKER CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032980",
            "telephone_number": "859-523-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 SUN SEEKER CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032980",
            "telephone_number": "859-523-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAGA",
        "first_name": "MARILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "753250",
            "primary": true
        },
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "KY",
            "license": "1124028",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.