Individual provider Active NPI

Grace Tregre Moffett, WHNP

  • Women's Health Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1609539188
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1-088498 Issued in AL
Practice address
9954 Lake Forest Blvd Ste 10
New Orleans, LA 70127-2647
Phone
(504) 241-0105
Fax
(504) 241-0106
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1-088498 AL Primary

Addresses

Primary practice location

9954 Lake Forest Blvd Ste 10
New Orleans, LA 70127-2647

Mailing address

1527 Gause Blvd # 101
Slidell, LA 70458-2244
Phone (251) 643-4293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-088498ALMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Grace Center for Women's Health and Wellness Women's Health Current Accepting new patients

Locations

9954 Lake Forest Blvd
Ste 10
New Orleans, LA 70127
Phone (404) 490-0304

1527 Gause Blvd
Slidell, LA 70458
Phone (504) 319-8940

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1609539188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 GAUSE BLVD # 101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582244",
            "telephone_number": "251-643-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9954 LAKE FOREST BLVD STE 10",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272647",
            "telephone_number": "504-241-0105",
            "fax_number": "504-241-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "GRACE",
        "middle_name": "TREGRE",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-088498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.