Wanda Sue Moulton

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

8267 Issued in FL

Practice address

4234 Sunniland St
Sarasota, FL 34233-1817

Phone

(941) 921-3801

NPI assigned

Aug 11, 2022

Last updated

Aug 11, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Inpatient Consultants of Florida Inc

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1457511164
  NPD (past)
• Sunniland Assisted Living Facility,LLC

  • Assisted Living Facility
  • Sarasota, FL
  • NPI 1417445685
  NPD (past)

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1568190197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 SUNNILAND ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331817",
            "telephone_number": "941-921-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 SUNNILAND ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331817",
            "telephone_number": "941-921-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "WANDA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "8267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Mehrdad Moshirfar, DPM
• Jefry Motato, MD
• Motaz Agabani, M.D., PA
• Jeanne M Mott, ARNP
• Chris C Mottram, RPH
• Cathy J Mountain, RN
• Jody E Mountcastle, LCSW
• Alfred F Mousa, DPT
• Thomas Alfred Mousa, DPT, PT
• Michael John Moustoukas, MD

• Licensed Practical Nurse in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.