Prysilla Moreno, ND, LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

Practice address

720 S 320TH St Ste E
Federal Way, WA 98003-5254

Phone

(253) 237-4704

Fax

(833) 471-4454

NPI assigned

Oct 12, 2017

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: prysilla.moreno.1@27361.direct.athenahealth.com

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.

• Nurturing Wellness LLC

  • Naturopath
  • Federal Way, WA
  • NPI 1598413890

  Acupuncturist

  NPD Authorized official
• Peninsula Natural Health Clinic, Inc.

  dba Peninsula Naturopathic Clinic

  • Naturopath
  • Gig Harbor, WA
  • NPI 1346655123

  Acupuncturist

  NPD (past)

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1508377961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 SW CAMPUS DR # 623",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980236473",
            "telephone_number": "253-431-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S 320TH ST STE E",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035254",
            "telephone_number": "253-237-4704",
            "fax_number": "833-471-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "PRYSILLA",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60791810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Moran
• Brandi Morang, RDH
• Autumn Rose Moreland
• Rio Joanne Moreland
• Libni M Moreno, DPT
• Raymond Moreno Jr., PA-C
• Leslie Morey, PTA
• Maricel L Morgensen, NCLMT
• Morning Shine LLC
• Brittany D Morris, LMP

• Naturopath in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.