Nicole E Moret, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024165787 Issued in VA

Practice address

5980 9TH St
Fort Belvoir, VA 22060-5509

Phone

(505) 272-1991

Fax

(505) 272-2016

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Nicole E Moret Professional name

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lswhb LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Milford, OH
  • NPI 1407325939

  VA

  Medicare reassignment NPD
• St Aloisius Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Harvey, ND
  • NPI 1639296007
  NPD (past)
• Trinity Health

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Minot, ND
  • NPI 1629636204
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1609966555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 9TH ST",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605509",
            "telephone_number": "505-272-1991",
            "fax_number": "505-272-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 9TH ST",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605509",
            "telephone_number": "505-272-1991",
            "fax_number": "505-272-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORET",
        "first_name": "NICOLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024165787",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024165787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19799",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MORET",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "DNP, FNP-BC, CNS-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Connie Jean Moore, CRNA
• Jeremy Patrick Moore, M.D.
• Joseph Andrew Moore, MD
• Amy Jewel Moorhead, PA
• Kristiniana Claire Disonglo Moreno
• Janet Moreth, LCSW
• Todd Andrew Morris, CRNA
• Kristine Moss, DVM
• Asad Moten
• Janice Brilata Motio, RN

• Psychiatric/Mental Health Nurse Practitioner in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.