Elaine E. Moorman, ARNP, DHSC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

728402 Issued in FL

Practice address

411 N. Webster Street
Wildwood, FL 34785

Phone

(352) 748-6689

Fax

(352) 748-6381

NPI assigned

Mar 9, 2006

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

Other identifiers 2

Other names 1

• Prof. Elaine E Mooman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

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

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.

• Delcare, PA

  • Specialist
  • The Villages, FL
  • NPI 1780613950
  NPD (past)
• Rural Medical Associates Inc

  dba Wildwood Medical Center

  • Rural Health Clinic/Center
  • Wildwood, FL
  • NPI 1770570806
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1588632210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32648 DARBY ROAD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "33525",
            "telephone_number": "352-748-0283",
            "fax_number": "352-748-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N. WEBSTER STREET",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "34785",
            "telephone_number": "352-748-6689",
            "fax_number": "352-748-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORMAN",
        "first_name": "ELAINE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "ARNP, DHSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "728402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y7190",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300313200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "MOOMAN",
            "middle_name": "E",
            "prefix": "PROF.",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Michael Minello, D.O.
• Tyler Jeffrey Mize, PA-C
• MLS Homemaker/Companion Service
• Robin Monk, M.A.
• Teresa R Moore, PTA
• Wanda K Morris
• Ammar Mousa, DDS
• Furqan Muhammad, M.D.
• Catherine Murphy, LPN
• My Chem Lab LLC

• Primary Care Nurse Practitioner in Wildwood, FL
• Providers in Wildwood, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.