Individual provider Active NPI

Tara Grace Moran, APRN, DNP

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1578862066
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9227023 Issued in FL
Practice address
3659 S Miami Ave Ste 5008
Miami, FL 33133-4221
Phone
(305) 845-0234
Fax
(305) 433-4558
NPI assigned
Mar 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9227023 FL
Acute Care Nurse Practitioner 363LA2100X ARNP9227023 FL
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X APRN9227023 FL Primary

Addresses

Primary practice location

3659 S Miami Ave Ste 5008
Miami, FL 33133-4221

Mailing address

3659 S Miami Ave Ste 5008
Miami, FL 33133-4221
Phone (305) 845-0234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812002645 FL Practitioner - Nurse Practitioner 3870031693 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9227023FLMDAcute Care Nurse Practitioner
APRN9227023FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Hourani, MD, LLC Single Specialty CurrentSince Jul 29, 2024 Accepting new patients

Locations

3659 S Miami Ave
Ste 5008
Miami, FL 33133
Phone (305) 845-0234

815 NW 57th Ave
Ste 100
Miami, FL 33126
Phone (305) 261-0555

3663 S Miami Ave
#221
Miami, FL 33133

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCFDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1578862066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 S MIAMI AVE STE 5008",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334221",
            "telephone_number": "305-845-0234",
            "fax_number": "305-443-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 S MIAMI AVE STE 5008",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334221",
            "telephone_number": "305-845-0234",
            "fax_number": "305-433-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "TARA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "APRN, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9227023",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9227023",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9227023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.