Laura Marie Moffat, MSN, RN, AGCNS-BC

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

28200708 Issued in IN

Practice address

5165 McCarty LN
Lafayette, IN 47905-8764

Phone

(765) 838-6378

NPI assigned

Apr 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1558824078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 SYCAMORE LN",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061927",
            "telephone_number": "765-607-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 MCCARTY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058764",
            "telephone_number": "765-838-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFAT",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "MSN, RN, AGCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "IN",
            "license": "28200708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lmoffat@iuhealth.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Indiana University Health Arnett Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5165 McCarty Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479058764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alyssa C Mitchem, LCSW
• Elizabeth Guequierre Moberly, M.D.
• Jordan A Mock, PA
• Cynthia J Modlin-Adams, RN MSN ANP BC BYANCC
• Charles S Modlin, MD
• Michelle Renea Mogenros
• Ahmed Omar Mohamed, MD
• Doaa Mohammed
• Sanjay Mohindra, MD
• Omar Mohtadi, MD

• Acute Care Clinical Nurse Specialist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Acute Care Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.